Provider Demographics
NPI:1396577839
Name:AFFIRMITY HOME HEALTH
Entity type:Organization
Organization Name:AFFIRMITY HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PATERNO
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANGELISTA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:714-280-5607
Mailing Address - Street 1:520 N BROOKHURST ST STE 202
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5236
Mailing Address - Country:US
Mailing Address - Phone:714-280-5607
Mailing Address - Fax:
Practice Address - Street 1:520 N BROOKHURST ST STE 202
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5236
Practice Address - Country:US
Practice Address - Phone:714-280-5607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health