Anchor Home Care Service LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ANCHOR HOME CARE SERVICE LLC

Practice address

2330 Cape Courage Way
Suwanee, GA 30024-2796

Phone

(706) 491-5339

NPI assigned

Feb 24, 2025

Last updated

Feb 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rusul Jaddoa Othman

Title

Chief Executive Officer (Ceo)

Phone

(706) 491-5339

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1841096591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 CAPE COURAGE WAY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 CAPE COURAGE WAY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242796",
            "telephone_number": "706-491-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR HOME CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-23",
        "status": "A",
        "authorized_official_last_name": "OTHMAN",
        "authorized_official_first_name": "RUSUL",
        "authorized_official_middle_name": "JADDOA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER (CEO)",
        "authorized_official_telephone_number": "706-491-5339"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.