Provider Demographics
NPI:1568230050
Name:AFFORDABLE AT HOME CARE, INC.
Entity Type:Organization
Organization Name:AFFORDABLE AT HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-610-0635
Mailing Address - Street 1:11111 N SCOTTSDALE RD STE 205V
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6732
Mailing Address - Country:US
Mailing Address - Phone:971-645-9867
Mailing Address - Fax:
Practice Address - Street 1:11111 N SCOTTSDALE RD STE 205V
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6732
Practice Address - Country:US
Practice Address - Phone:971-645-9867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AFFORDABLE AT HOME CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care