MEDICARE: ANOINTED HANDS HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1598485013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANOINTED HANDS HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	3404 VIERO DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80916-5739
Country	:	US
Telephone Number	:	719-465-7292
Fax Number	:	719-465-7292

Provider Business Practice Location Address
First Line	:	3404 VIERO DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80916-5739
Country	:	US
Telephone Number	:	719-465-7292
Fax Number	:	719-465-7292

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	ZENA GORDON
Credential	:
Telephone Number	:	719-465-7292

Provider Enumeration Date	:	09/02/2022
Last Update Date	:	09/02/2022

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