Organization
ANASA HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA POWELL-BLACKWELL (AGENCY DIRECTOR)
(910) 286-5912
Entity
Organization
Contact information
Practice address
111 LAMON ST STE 124, FAYETTEVILLE, NC 28301-4917
(910) 286-5912
Mailing address
111 LAMON ST STE 124, FAYETTEVILLE, NC 28301-4917
(910) 286-5912
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
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
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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