Healthcare Provider Details

I. General information

NPI: 1073795654
Provider Name (Legal Business Name): AFFINITY REMODELING INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2007
Last Update Date: 12/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 N COUNTY ROAD 3
LOVELAND CO
80534-4056
US

IV. Provider business mailing address

514 N COUNTY ROAD 3
LOVELAND CO
80534-4056
US

V. Phone/Fax

Practice location:
  • Phone: 970-663-0133
  • Fax: 970-663-1153
Mailing address:
  • Phone: 970-663-0133
  • Fax: 970-663-1153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. GARY V YORK
Title or Position: PRESIDENT
Credential:
Phone: 970-663-0133