Provider Demographics
NPI:1104149046
Name:ANTHOS CARE, LLC
Entity type:Organization
Organization Name:ANTHOS CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CFO, OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:J
Authorized Official - Last Name:DEMY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:512-410-7771
Mailing Address - Street 1:PO BOX 5605
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78683-5605
Mailing Address - Country:US
Mailing Address - Phone:512-310-5812
Mailing Address - Fax:512-355-1346
Practice Address - Street 1:3002 BLUE SKY PL
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-6277
Practice Address - Country:US
Practice Address - Phone:512-310-5812
Practice Address - Fax:512-355-1346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-07
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXIN PROCESS253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care