MEDICARE: AFFINITY FAMILY CARE, 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	953689	AZ

General Provider Information

NPI Number	:	1952514564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFINITY FAMILY CARE, LLC.

Provider Business Mailing Address
First Line	:	PO BOX 1865
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85299-1865
Country	:	US
Telephone Number	:	480-558-3600
Fax Number	:	480-558-1806

Provider Business Practice Location Address
First Line	:	1423 S HIGLEY RD
Second Line	:	SUITE #115
City	:	MESA
State	:	AZ
Zip	:	85206-3429
Country	:	US
Telephone Number	:	480-558-3600
Fax Number	:	480-558-1806

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. TRACY L STEWART
Credential	:
Telephone Number	:	480-558-3600

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	06/16/2016

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