Provider Demographics
NPI:1427784727
Name:AFFECTIONATE HEALTHCARE LLC
Entity type:Organization
Organization Name:AFFECTIONATE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:FLUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-437-1719
Mailing Address - Street 1:17302 CURRAWONG CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6728
Mailing Address - Country:US
Mailing Address - Phone:240-437-1719
Mailing Address - Fax:
Practice Address - Street 1:17302 CURRAWONG CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6728
Practice Address - Country:US
Practice Address - Phone:240-437-1719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care