Provider Demographics
NPI: | 1023500261 |
---|---|
Name: | AFFORDABLE HOME HEALTH CARE INC |
Entity type: | Organization |
Organization Name: | AFFORDABLE HOME HEALTH CARE INC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | VP |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KENNETH |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SPILLMAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 870-239-0997 |
Mailing Address - Street 1: | 501 W KINGSHIGHWAY |
Mailing Address - Street 2: | |
Mailing Address - City: | PARAGOULD |
Mailing Address - State: | AR |
Mailing Address - Zip Code: | 72450-4234 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 870-239-0997 |
Mailing Address - Fax: | 870-239-9037 |
Practice Address - Street 1: | 308 W MAIN ST |
Practice Address - Street 2: | |
Practice Address - City: | WALNUT RIDGE |
Practice Address - State: | AR |
Practice Address - Zip Code: | 72476-1935 |
Practice Address - Country: | US |
Practice Address - Phone: | 870-886-1260 |
Practice Address - Fax: | 870-886-7525 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | AFFORDABLE HOME HEALTH CARE INC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2018-06-04 |
Last Update Date: | 2025-07-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332BX2000X | Suppliers | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies |