Healthcare Provider Details

I. General information

NPI: 1376181719
Provider Name (Legal Business Name): AFFINITY HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2019
Last Update Date: 12/17/2019
Certification Date: 12/17/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12567 SPRING HILL DR
SPRING HILL FL
34609-5028
US

IV. Provider business mailing address

12567 SPRING HILL DR
SPRING HILL FL
34609-5028
US

V. Phone/Fax

Practice location:
  • Phone: 352-327-3902
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TERRY BAKER
Title or Position: PRESIDENT
Credential:
Phone: 352-444-0848