Provider Demographics
NPI:1477165967
Name:AFYA HEALTHCARE SERVICES, PLLC
Entity Type:Organization
Organization Name:AFYA HEALTHCARE SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LINNER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEPNGENO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:919-695-2181
Mailing Address - Street 1:140 TOWERVIEW CT STE 102
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-3595
Mailing Address - Country:US
Mailing Address - Phone:919-695-2181
Mailing Address - Fax:
Practice Address - Street 1:140 TOWERVIEW CT STE 102
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3595
Practice Address - Country:US
Practice Address - Phone:919-695-2181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHC5657OtherNC DEPARTMENT OF HEALTH AND HUMAN SERVICES-DHSR