Provider Demographics
NPI:1982588240
Name:ANACRAFT HEALTHCARE PROVIDER
Entity type:Organization
Organization Name:ANACRAFT HEALTHCARE PROVIDER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLECRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-212-4327
Mailing Address - Street 1:234 HAWKING DR
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:OH
Mailing Address - Zip Code:43021-8086
Mailing Address - Country:US
Mailing Address - Phone:614-212-4327
Mailing Address - Fax:
Practice Address - Street 1:234 HAWKING DR
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:OH
Practice Address - Zip Code:43021-8086
Practice Address - Country:US
Practice Address - Phone:614-212-4327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities