Provider Demographics
NPI:1649286006
Name:AFFINITY HOME HEALTH, INC
Entity type:Organization
Organization Name:AFFINITY HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:ALTHEA
Authorized Official - Last Name:VAALER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:813-874-6500
Mailing Address - Street 1:4301 N HABANA AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6546
Mailing Address - Country:US
Mailing Address - Phone:813-874-6500
Mailing Address - Fax:813-874-6511
Practice Address - Street 1:4301 N HABANA AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6546
Practice Address - Country:US
Practice Address - Phone:813-874-6500
Practice Address - Fax:813-874-6511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health