Healthcare Provider Details

I. General information

NPI: 1114841723
Provider Name (Legal Business Name): AFFINITY HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W BAY DR STE 406
LARGO FL
33770-3220
US

IV. Provider business mailing address

PO BOX 1116
DEERFIELD BEACH FL
33443-1116
US

V. Phone/Fax

Practice location:
  • Phone: 561-483-4044
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: LARS ALTMAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 561-302-8398