Provider Demographics
NPI:1710352026
Name:AFFORDABLE HOME HEALTH CARE AGENCY, INC
Entity Type:Organization
Organization Name:AFFORDABLE HOME HEALTH CARE AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FATIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGOMADOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-740-8640
Mailing Address - Street 1:2512 SE 109TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-1215
Mailing Address - Country:US
Mailing Address - Phone:503-261-7121
Mailing Address - Fax:503-512-5384
Practice Address - Street 1:2512 SE 109TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-1215
Practice Address - Country:US
Practice Address - Phone:503-261-7121
Practice Address - Fax:503-512-5384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health