Provider Demographics
NPI:1902174212
Name:ALL ABOUT THE AFFORDABLE HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:ALL ABOUT THE AFFORDABLE HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:KAREN
Authorized Official - Last Name:BYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-968-5542
Mailing Address - Street 1:2515 THE PLZ
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-2407
Mailing Address - Country:US
Mailing Address - Phone:704-968-5542
Mailing Address - Fax:704-599-5531
Practice Address - Street 1:4357 RALEIGH ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-6903
Practice Address - Country:US
Practice Address - Phone:704-968-5542
Practice Address - Fax:704-599-5531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4494253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6602325Medicaid