Provider Demographics
NPI:1447574512
Name:AFS HOME HEALTH, LLC
Entity Type:Organization
Organization Name:AFS HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-255-1640
Mailing Address - Street 1:708 SUPERIOR ST
Mailing Address - Street 2:STE B
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-1656
Mailing Address - Country:US
Mailing Address - Phone:208-255-1640
Mailing Address - Fax:
Practice Address - Street 1:708 SUPERIOR ST
Practice Address - Street 2:STE B
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1656
Practice Address - Country:US
Practice Address - Phone:208-255-1640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health