Provider Demographics
NPI:1699077693
Name:ANOINTED COMPANION, LLC
Entity type:Organization
Organization Name:ANOINTED COMPANION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:LIDA
Authorized Official - Middle Name:DELORIES
Authorized Official - Last Name:LIVINGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-274-4239
Mailing Address - Street 1:3449 DOREEN DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33810-2926
Mailing Address - Country:US
Mailing Address - Phone:863-838-3251
Mailing Address - Fax:866-356-1424
Practice Address - Street 1:3449 DOREEN DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33810-2926
Practice Address - Country:US
Practice Address - Phone:863-838-3251
Practice Address - Fax:866-356-1424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-23
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL230495372600000X, 376J00000X
FL176813376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty