Healthcare Provider Details

I. General information

NPI: 1508360652
Provider Name (Legal Business Name): AFFORDABLE HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2018
Last Update Date: 03/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W SANDUSKY ST STE 2
FINDLAY OH
45840-3218
US

IV. Provider business mailing address

170 TAYLOR STATION RD STE 220
COLUMBUS OH
43213-4491
US

V. Phone/Fax

Practice location:
  • Phone: 614-866-8158
  • Fax: 614-866-8160
Mailing address:
  • Phone: 614-554-7964
  • Fax: 614-866-8160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. GARRETT LEE BURKAM SR.
Title or Position: PRESIDENT
Credential: PT
Phone: 614-866-8158