Provider Demographics
NPI:1356166185
Name:AFFECTIONATE HOMEHEALTH SERVICES LLC
Entity type:Organization
Organization Name:AFFECTIONATE HOMEHEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAMOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:AYORINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-442-7828
Mailing Address - Street 1:2836 BELLFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4003
Mailing Address - Country:US
Mailing Address - Phone:940-442-7828
Mailing Address - Fax:
Practice Address - Street 1:2836 BELLFLOWER DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4003
Practice Address - Country:US
Practice Address - Phone:940-442-7828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251X00000XAgenciesSupports Brokerage