Provider Demographics
NPI:1033487491
Name:AFFORDABLE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:AFFORDABLE HOME HEALTH CARE INC
Other - Org Name:AFFORDABLE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SPILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-972-5900
Mailing Address - Street 1:501 W KINGSHIGHWAY
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-4234
Mailing Address - Country:US
Mailing Address - Phone:870-239-0997
Mailing Address - Fax:870-239-9037
Practice Address - Street 1:4707 E JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-1999
Practice Address - Country:US
Practice Address - Phone:870-975-5900
Practice Address - Fax:870-203-0518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARMG01068332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARMG01068 # 054513OtherPHARMACY LICENSE
AR00000000001366OtherJONESBORO BUSINESS
ARMG01068 # 054513OtherPHARMACY LICENSE
AR1050070002Medicare NSC