Provider Demographics
NPI:1871650374
Name:AFFORDABLE HOME HEALTH CARE
Entity Type:Organization
Organization Name:AFFORDABLE HOME HEALTH CARE
Other - Org Name:VICTORY INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:VARAGHEESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:463-774-3750
Mailing Address - Street 1:2318 SHILOH LN
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-1690
Mailing Address - Country:US
Mailing Address - Phone:463-774-3750
Mailing Address - Fax:
Practice Address - Street 1:12115 SELF PLAZA DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-1469
Practice Address - Country:US
Practice Address - Phone:463-774-3750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008557251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX008557OtherSTATE LICENSE