Provider Demographics
NPI:1255505863
Name:AFFILIATED HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:AFFILIATED HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:NORRIS'JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-354-5000
Mailing Address - Street 1:21455 MELROSE AVE STE R9
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-7980
Mailing Address - Country:US
Mailing Address - Phone:248-354-5000
Mailing Address - Fax:248-354-5003
Practice Address - Street 1:23370 COMMERCE DR STE 1
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-2726
Practice Address - Country:US
Practice Address - Phone:248-354-5000
Practice Address - Fax:248-354-5003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health