Healthcare Provider Details

I. General information

NPI: 1902743081
Provider Name (Legal Business Name): AFFINITY CARE OF NEW MEXICO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 ALAMO AVE SE STE 308
ALBUQUERQUE NM
87106-3523
US

IV. Provider business mailing address

2340 ALAMO AVE SE STE 308
ALBUQUERQUE NM
87106-3523
US

V. Phone/Fax

Practice location:
  • Phone: 505-616-5900
  • Fax: 505-212-5984
Mailing address:
  • Phone: 505-616-5900
  • Fax: 505-212-5984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL STERN
Title or Position: CEO
Credential:
Phone: 510-499-9977