Provider Demographics
NPI:1861633794
Name:AFFORDABLE HOME CARE SERVICE INC
Entity Type:Organization
Organization Name:AFFORDABLE HOME CARE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-727-1818
Mailing Address - Street 1:17939 CHATSWORTH ST
Mailing Address - Street 2:SUITE 320
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-5606
Mailing Address - Country:US
Mailing Address - Phone:818-727-1818
Mailing Address - Fax:
Practice Address - Street 1:17939 CHATSWORTH ST
Practice Address - Street 2:SUITE 320
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-5606
Practice Address - Country:US
Practice Address - Phone:818-727-1818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC3180310251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health