Provider Demographics
NPI:1003266420
Name:AFFORDABLE HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:AFFORDABLE HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-943-8735
Mailing Address - Street 1:9507 HULL STREET RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-1476
Mailing Address - Country:US
Mailing Address - Phone:804-222-6583
Mailing Address - Fax:877-819-2659
Practice Address - Street 1:9507 HULL STREET RD
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-1476
Practice Address - Country:US
Practice Address - Phone:804-222-6583
Practice Address - Fax:877-819-2659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health