MEDICARE: ANCHOR OF PEACE HOME HEALTH CARE CORP

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	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1982571600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHOR OF PEACE HOME HEALTH CARE CORP

Provider Business Mailing Address
First Line	:	1703 PEYCO DR N
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-6701
Country	:	US
Telephone Number	:	682-252-7455
Fax Number	:	682-228-5834

Provider Business Practice Location Address
First Line	:	1703 PEYCO DR N
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-6701
Country	:	US
Telephone Number	:	682-252-7455
Fax Number	:	682-228-5834

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ENDALINE ODOEMENE-UGWUIBE
Credential	:
Telephone Number	:	361-695-4037

Provider Enumeration Date	:	10/17/2025
Last Update Date	:	10/17/2025

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