Provider Demographics
NPI:1003560152
Name:AFFIRMA HOME CARE LLC
Entity Type:Organization
Organization Name:AFFIRMA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:BANSUAN
Authorized Official - Last Name:ARABIT
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:602-380-2195
Mailing Address - Street 1:7784 N 57TH DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-7869
Mailing Address - Country:US
Mailing Address - Phone:602-380-2195
Mailing Address - Fax:602-944-2527
Practice Address - Street 1:7784 N 57TH DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-7869
Practice Address - Country:US
Practice Address - Phone:602-380-2195
Practice Address - Fax:602-944-2527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care