Provider Demographics
NPI:1538466958
Name:AFFIRMATICE CARE
Entity Type:Organization
Organization Name:AFFIRMATICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:MADIC
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:937-233-4199
Mailing Address - Street 1:6261 CHURCHILL DOWNS PL
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-3692
Mailing Address - Country:US
Mailing Address - Phone:937-233-4199
Mailing Address - Fax:
Practice Address - Street 1:6261 CHURCHILL DOWNS PL
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-3692
Practice Address - Country:US
Practice Address - Phone:937-233-4199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-21
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health