MEDICARE: AFFORDABLE HOME HEALTH SERVICES

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1003266420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFORDABLE HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	9507 HULL STREET RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-1476
Country	:	US
Telephone Number	:	804-222-6583
Fax Number	:	877-819-2659

Provider Business Practice Location Address
First Line	:	9507 HULL STREET RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-1476
Country	:	US
Telephone Number	:	804-222-6583
Fax Number	:	877-819-2659

Authorized Official
Title or Position	:	OWNER
Name	:	BRUCE JOHNSON
Credential	:
Telephone Number	:	804-943-8735

Provider Enumeration Date	:	06/16/2016
Last Update Date	:	06/16/2016

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Directions to “AFFORDABLE HOME HEALTH SERVICES ” Practice Location

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