Provider Demographics
NPI:1285834671
Name:ANIOL III, LLC
Entity type:Organization
Organization Name:ANIOL III, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-707-2756
Mailing Address - Street 1:4800 OVERTON PLZ STE 440
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-4435
Mailing Address - Country:US
Mailing Address - Phone:800-299-5161
Mailing Address - Fax:
Practice Address - Street 1:750 RUSK ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3639
Practice Address - Country:US
Practice Address - Phone:830-629-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
320900000X, 315P00000X
TX007260320800000X
TX007233320800000X
TX007232320800000X
TX117036320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000381102OtherICF CONTRACT
TX001001390OtherICF CONTRACT
TX001001393OtherICF CONTRACT
TX148113OtherICF LICENSE
TX001001387OtherICF CONTRACT
TX148157OtherICF LICENSE
TX148280OtherICF LICENSE
TX148158OtherICF LICENSE
TX001001391OtherICF CONTRACT
TX143743OtherICF LICENSE
TX001001392OtherICF CONTRACT
TX148006OtherICF LICENSE
TX001001389OtherICF CONTRACT
TX001001388OtherICF CONTRACT
TX148544OtherICF LICENSE
TX150291OtherICF LICENSE