Provider Demographics
NPI:1760725808
Name:AFFINITY HOME CARE SERVICES
Entity Type:Organization
Organization Name:AFFINITY HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON RN
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:I
Authorized Official - Last Name:LEARY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:201-265-1303
Mailing Address - Street 1:16 CHESTNUT AVENUE
Mailing Address - Street 2:SUITE # 302W
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630
Mailing Address - Country:US
Mailing Address - Phone:201-265-1303
Mailing Address - Fax:201-265-1384
Practice Address - Street 1:16 CHESTNUT AVENUE
Practice Address - Street 2:SUITE 302 W
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630
Practice Address - Country:US
Practice Address - Phone:201-265-1303
Practice Address - Fax:201-265-1384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0170300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health