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Anasa Home Health LLC

In Home Supportive Care in Fayetteville, NC. Organization (NPI-2).

NPI number1780483875
StatusActive
Last updated in NPPESMar 11, 2025

Details

NPI
1780483875
Entity type
Organization (NPI-2)
Legal business name
Anasa Home Health LLC
Organization subpart
No
Enumeration date
Mar 11, 2025
Certification date
Mar 11, 2025
Last updated
Mar 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
251E00000X Home Health––
251F00000X Home Infusion––
251J00000X Nursing Care––
251K00000X Public Health or Welfare––
251S00000X Community/Behavioral Health––
332B00000X Durable Medical Equipment & Medical Supplies––
332U00000X Home Delivered Meals––
335G00000X Medical Foods Supplier––
343900000X Non-emergency Medical Transport (VAN)––
376K00000X Nurse's Aide––
385H00000X Respite Care––
385HR2055X Respite Care, Respite Care, Mental Illness, Child––
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child––
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child––

Practice location

111 Lamon St Ste 124
Fayetteville, NC 28301-4917

Phone 910-286-5912

Mailing address

111 Lamon St Ste 124
Fayetteville, NC 28301-4917

Phone 910-286-5912

Authorized official

Tara Powell-Blackwell
Agency Director
9102865912

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