Healthcare Provider Details
I. General information
NPI: 1316998974
Provider Name (Legal Business Name): AFFINITY HOME CARE AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2006
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2655 E OAKLEY PARK RD STE 106
COMMERCE TOWNSHIP MI
48390-1645
US
IV. Provider business mailing address
2655 E OAKLEY PARK RD STE 106
COMMERCE TOWNSHIP MI
48390-1645
US
V. Phone/Fax
- Phone: 248-363-8650
- Fax: 248-363-8652
- Phone: 248-363-8650
- Fax: 248-363-8652
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | NONE |
| License Number State | |
VIII. Authorized Official
Name: DR.
JERRY
E
ZAYID
Title or Position: ADMINISTRATOR
Credential: DPM
Phone: 248-245-3392