Provider Demographics
NPI:1316499254
Name:ANCHORED AT HOME, LLC
Entity type:Organization
Organization Name:ANCHORED AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:WRIGHT
Authorized Official - Last Name:HOVEY
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CSCM
Authorized Official - Phone:470-241-6064
Mailing Address - Street 1:3025 HIGHWAY 154 UNIT B
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-6121
Mailing Address - Country:US
Mailing Address - Phone:470-241-6064
Mailing Address - Fax:
Practice Address - Street 1:3025 HIGHWAY 154 UNIT B
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-6121
Practice Address - Country:US
Practice Address - Phone:470-241-6064
Practice Address - Fax:678-298-9592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA038-R-1683251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health