Provider Demographics
NPI:1225810591
Name:AFRO HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:AFRO HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MONARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-598-5079
Mailing Address - Street 1:5006 VERA CRUZ AVE N
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL
Mailing Address - State:MN
Mailing Address - Zip Code:55429-3082
Mailing Address - Country:US
Mailing Address - Phone:612-598-5079
Mailing Address - Fax:
Practice Address - Street 1:5006 VERA CRUZ AVE N
Practice Address - Street 2:
Practice Address - City:CRYSTAL
Practice Address - State:MN
Practice Address - Zip Code:55429-3082
Practice Address - Country:US
Practice Address - Phone:612-598-5079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health