Provider Demographics
NPI:1487401493
Name:AFFIRMED HOME CARE PEDIATRICS INC
Entity type:Organization
Organization Name:AFFIRMED HOME CARE PEDIATRICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALICANDRI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:646-559-6646
Mailing Address - Street 1:365 W PASSAIC ST STE 228
Mailing Address - Street 2:
Mailing Address - City:ROCHELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07662-3012
Mailing Address - Country:US
Mailing Address - Phone:201-595-0414
Mailing Address - Fax:
Practice Address - Street 1:365 W PASSAIC ST STE 228
Practice Address - Street 2:
Practice Address - City:ROCHELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07662-3012
Practice Address - Country:US
Practice Address - Phone:201-595-0414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health