Healthcare Provider Details

I. General information

NPI: 1124586870
Provider Name (Legal Business Name): AFFORDABLE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2019
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2323 PENNSYLVANIA AVE STE 3B
WILMINGTON DE
19806-1332
US

IV. Provider business mailing address

2323 PENNSYLVANIA AVE STE 3B
WILMINGTON DE
19806-1332
US

V. Phone/Fax

Practice location:
  • Phone: 302-482-3557
  • Fax:
Mailing address:
  • Phone: 302-482-3557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MR. ALEX MOUR
Title or Position: PARTNER
Credential: CPA, CTP
Phone: 267-614-1696