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NPI 1124290978

NPI 1124290978 : AFFINITY HOME CARE INC. : POMPANO BEACH, FL

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General NPI Number Information
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    NPI Number           |    1124290978
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    Entity Type          |    Organization 
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    Legal Business Name  |    AFFINITY HOME CARE INC. 
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Dates
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    Enumeration Date     |    04/01/2008
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    Last Update Date     |    11/20/2024
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Provider Practice Location Address
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    Address Line         |    440 E SAMPLE RD STE 206 
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    City                 |    POMPANO BEACH
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    State                |    FL
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    Zip                  |    33064-4440
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    Country              |    US
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    Telephone            |    954-427-6916
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    Fax                  |    954-782-3643
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1116 
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    City                 |    DEERFIELD BEACH
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    State                |    FL
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    Zip                  |    33443-1116
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    Country              |    US
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    Telephone            |    561-302-8398
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    Fax                  |    561-483-4045
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |     LARS  ALTMAN 
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    Credential           |    
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    Telephone            |    561-302-8398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    3747A0650X
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    Taxonomy Name        |    Attendant Care Provider
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    License Number       |    
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    License Number State |    
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