Provider Demographics
NPI:1386494953
Name:AFFECTIONATE HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:AFFECTIONATE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMERAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-364-1176
Mailing Address - Street 1:7140 S WHITE CROW WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-7646
Mailing Address - Country:US
Mailing Address - Phone:720-364-1176
Mailing Address - Fax:
Practice Address - Street 1:2851 S PARKER RD STE 1-1044
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2736
Practice Address - Country:US
Practice Address - Phone:720-364-1176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care