Provider Demographics
NPI:1407603749
Name:AFFINITE IN HOME, LLC
Entity type:Organization
Organization Name:AFFINITE IN HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERTARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LATCHISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-476-6416
Mailing Address - Street 1:1809 VANDIVER DR STE 103
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-3948
Mailing Address - Country:US
Mailing Address - Phone:573-476-6416
Mailing Address - Fax:573-646-6417
Practice Address - Street 1:1809 VANDIVER DR STE 103
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-3948
Practice Address - Country:US
Practice Address - Phone:573-476-6416
Practice Address - Fax:573-646-6417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health