Provider Demographics
NPI:1619598851
Name:AFFECTIONATE HOME HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:AFFECTIONATE HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:WAWERU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-943-4105
Mailing Address - Street 1:1 CHESTNUT ST STE 201
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-9302
Mailing Address - Country:US
Mailing Address - Phone:603-943-4105
Mailing Address - Fax:
Practice Address - Street 1:1 CHESTNUT ST STE 201
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-9302
Practice Address - Country:US
Practice Address - Phone:603-943-4105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health