MEDICARE: AFFORDABLE HOME CARE SERVICES, INC.

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	1993893	IL

General Provider Information

NPI Number	:	1407161201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFORDABLE HOME CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	3311 W IRVING PARK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-3343
Country	:	US
Telephone Number	:	773-754-3800
Fax Number	:	773-754-3804

Provider Business Practice Location Address
First Line	:	3311 W IRVING PARK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-3343
Country	:	US
Telephone Number	:	773-754-3800
Fax Number	:	773-754-3804

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. LETICIA A SOLIZ
Credential	:
Telephone Number	:	773-754-3800

Provider Enumeration Date	:	08/17/2010
Last Update Date	:	08/18/2011

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