Provider Demographics
NPI:1558743591
Name:AFFORDABLE CARE AT HOME
Entity Type:Organization
Organization Name:AFFORDABLE CARE AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-925-8560
Mailing Address - Street 1:1125 12TH ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-3791
Mailing Address - Country:US
Mailing Address - Phone:772-925-8560
Mailing Address - Fax:
Practice Address - Street 1:1125 12TH ST
Practice Address - Street 2:SUITE F
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-3791
Practice Address - Country:US
Practice Address - Phone:772-925-8560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-26
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211786251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health