Healthcare Provider Details

I. General information

NPI: 1952680415
Provider Name (Legal Business Name): AFFINITY HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2011
Last Update Date: 08/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CHRISTIANA MEDICAL CTR
NEWARK DE
19702-1697
US

IV. Provider business mailing address

100 CHRISTIANA MEDICAL CTR
NEWARK DE
19702-1697
US

V. Phone/Fax

Practice location:
  • Phone: 302-283-1988
  • Fax: 302-283-1991
Mailing address:
  • Phone: 302-283-1988
  • Fax: 302-283-1991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateDE
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateDE

VIII. Authorized Official

Name: DAMION WILLIAMS
Title or Position: PRESIDENT
Credential:
Phone: 302-283-1988