Healthcare Provider Details

I. General information

NPI: 1235093972
Provider Name (Legal Business Name): AFFINITY HEALTH PARTNERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N ILLINOIS ST
INDIANAPOLIS IN
46204-1904
US

IV. Provider business mailing address

201 PERDUE RD
QUITMAN GA
31643-3651
US

V. Phone/Fax

Practice location:
  • Phone: 448-488-2912
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. FALLON HARRIS
Title or Position: C.E.O
Credential:
Phone: 229-546-7153