MEDICARE: AFFINITY CARE OF NEW MEXICO 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1902743081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFINITY CARE OF NEW MEXICO LLC

Provider Business Mailing Address
First Line	:	2340 ALAMO AVE SE STE 308
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-3523
Country	:	US
Telephone Number	:	505-616-5900
Fax Number	:	505-212-5984

Provider Business Practice Location Address
First Line	:	2340 ALAMO AVE SE STE 308
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-3523
Country	:	US
Telephone Number	:	505-616-5900
Fax Number	:	505-212-5984

Authorized Official
Title or Position	:	CEO
Name	:	SAMUEL STERN
Credential	:
Telephone Number	:	510-499-9977

Provider Enumeration Date	:	04/29/2026
Last Update Date	:	05/06/2026

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