Anam Parc, LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12320 Issued in FL

Legal business name

ANAM PARC, LLC.

Doing business as

Anam Parc

Practice address

4867 Susanna Woods CT
Jacksonville, FL 32257-5266

Phone

(904) 732-9509

Fax

(904) 732-9510

NPI assigned

May 22, 2015

Last updated

May 22, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

ANAM PARC, LLC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jamie Louise Glavich

Title

Owner/Administrator

Phone

(904) 610-6602

Specialties & licenses 1

Addresses

Other names 1

• Anam Parc Doing business as

Tax ID family

Anam Parc LLC2 organizations share this tax ID, including this one

Part of

Anam Parc LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Anam Parc, LLC.

  dba Anam Parc

  • Assisted Living Facility
  • Jacksonville, FL
  • NPI 1447639216
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1295114221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575581",
            "telephone_number": "904-610-6602",
            "fax_number": "904-731-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 SUSANNA WOODS CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575266",
            "telephone_number": "904-732-9509",
            "fax_number": "904-732-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAM PARC, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANAM PARC, LLC.",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "GLAVICH",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "904-610-6602",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anam Parc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amir Anabtawi, M.D.
• Anam Parc, LLC. (Anam Parc)
• Senthil Anand, M.B.B.S.
• Sharmilla Anand, DMD
• Subashini Anand, M.D.
• Vidhu Anand, M.B.B.S

• Assisted Living Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.