MEDICARE: ALL ABOUT THE AFFORDABLE HOME HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	HC4494	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902174212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL ABOUT THE AFFORDABLE HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	2515 THE PLZ
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-2407
Country	:	US
Telephone Number	:	704-968-5542
Fax Number	:	704-599-5531

Provider Business Practice Location Address
First Line	:	4357 RALEIGH ST
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28213-6903
Country	:	US
Telephone Number	:	704-968-5542
Fax Number	:	704-599-5531

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	MS. JUDITH KAREN BYERS
Credential	:
Telephone Number	:	704-968-5542

Provider Enumeration Date	:	12/01/2011
Last Update Date	:	03/13/2014

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