Provider Demographics
NPI:1356348924
Name:A-AFFORDABLE HOME HEALTH CARE EQUIPMENT & SUPPLIES, INC.
Entity type:Organization
Organization Name:A-AFFORDABLE HOME HEALTH CARE EQUIPMENT & SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:A
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:ATP
Authorized Official - Phone:727-449-1400
Mailing Address - Street 1:1156 KAPP DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-2113
Mailing Address - Country:US
Mailing Address - Phone:727-449-1400
Mailing Address - Fax:727-449-1446
Practice Address - Street 1:1156 KAPP DR
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-2113
Practice Address - Country:US
Practice Address - Phone:727-449-1400
Practice Address - Fax:727-449-1446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-28
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1417332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR7967OtherBLUE CROSS BLUE SHIELD
FL5144970001Medicare NSC