Provider Demographics
NPI:1144093717
Name:AFFORDABLE HOME CARE LLC
Entity type:Organization
Organization Name:AFFORDABLE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JIMI
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMCEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-537-1260
Mailing Address - Street 1:15050 ELDERBERRY LN
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-8504
Mailing Address - Country:US
Mailing Address - Phone:239-228-8043
Mailing Address - Fax:877-926-7117
Practice Address - Street 1:15050 ELDERBERRY LN
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-8504
Practice Address - Country:US
Practice Address - Phone:239-228-8043
Practice Address - Fax:877-926-7117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care