Provider Demographics
NPI:1023500261
Name:AFFORDABLE HOME HEALTH CARE INC
Entity type:Organization
Organization Name:AFFORDABLE HOME HEALTH CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SPILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-239-0997
Mailing Address - Street 1:501 W KINGSHIGHWAY
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-4234
Mailing Address - Country:US
Mailing Address - Phone:870-239-0997
Mailing Address - Fax:870-239-9037
Practice Address - Street 1:1315 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WALNUT RIDGE
Practice Address - State:AR
Practice Address - Zip Code:72476-1430
Practice Address - Country:US
Practice Address - Phone:870-886-1260
Practice Address - Fax:870-886-7525
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AFFORDABLE HOME HEALTH CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies