Healthcare Provider Details

I. General information

NPI: 1457207110
Provider Name (Legal Business Name): AFFECTION HEALTH CARE, A PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 N CARPENTER RD STE D46
MODESTO CA
95351-1161
US

IV. Provider business mailing address

1620 N CARPENTER RD STE D46
MODESTO CA
95351-1161
US

V. Phone/Fax

Practice location:
  • Phone: 350-216-5774
  • Fax: 800-303-0049
Mailing address:
  • Phone: 350-216-5774
  • Fax: 800-303-0049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMAECHI OZOR
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: FNP
Phone: 350-216-5774