Provider Demographics
NPI:1588248215
Name:AFFINITY HOME CARE LLC
Entity type:Organization
Organization Name:AFFINITY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANAHI
Authorized Official - Middle Name:
Authorized Official - Last Name:ASIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:872-235-4172
Mailing Address - Street 1:1600 GOLF RD
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-4263
Mailing Address - Country:US
Mailing Address - Phone:872-235-4172
Mailing Address - Fax:
Practice Address - Street 1:1600 GOLF RD
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-4263
Practice Address - Country:US
Practice Address - Phone:872-235-4172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care