Provider Demographics
NPI:1588029284
Name:AFFORDABLE HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:AFFORDABLE HOME HEALTH CARE, LLC
Other - Org Name:SUMMIT ORTHOPAEDIC HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAHLBERG
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:614-866-8158
Mailing Address - Street 1:2760 AIRPORT DR STE 160
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-2284
Mailing Address - Country:US
Mailing Address - Phone:614-866-8158
Mailing Address - Fax:
Practice Address - Street 1:4600 MCAULEY PL STE 150
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-4765
Practice Address - Country:US
Practice Address - Phone:513-898-3375
Practice Address - Fax:513-322-4757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-22
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0415884Medicaid
369119OtherMEDICARE PTAN