Provider Demographics
NPI:1831365022
Name:AFFINITY HOME HEALTH, L. L. C.
Entity type:Organization
Organization Name:AFFINITY HOME HEALTH, L. L. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:TESTER
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:940-367-9842
Mailing Address - Street 1:815 N ELM ST STE 104
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-2980
Mailing Address - Country:US
Mailing Address - Phone:940-367-9842
Mailing Address - Fax:940-387-0545
Practice Address - Street 1:815 N ELM ST STE 104
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2980
Practice Address - Country:US
Practice Address - Phone:940-367-9842
Practice Address - Fax:940-387-0545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health