MEDICARE: AFFINITY HOSPICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1568766962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFINITY HOSPICE LLC

Provider Business Mailing Address
First Line	:	2708 S MEDFORD DR
Second Line	:
City	:	LUFKIN
State	:	TX
Zip	:	75901-6122
Country	:	US
Telephone Number	:	936-639-2626
Fax Number	:	936-639-2629

Provider Business Practice Location Address
First Line	:	2708 S MEDFORD DR
Second Line	:
City	:	LUFKIN
State	:	TX
Zip	:	75901-6122
Country	:	US
Telephone Number	:	936-639-2626
Fax Number	:	936-639-2629

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	QUINCY MARTINDALE
Credential	:
Telephone Number	:	936-639-2626

Provider Enumeration Date	:	12/29/2010
Last Update Date	:	04/01/2024

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Directions to “AFFINITY HOSPICE LLC ” Practice Location

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