Healthcare Provider Details

I. General information

NPI: 1700749355
Provider Name (Legal Business Name): AFFINITY HEALTH PARTNERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 ANN ST NW STE 200
GRAND RAPIDS MI
49504-2016
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 TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

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