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NPI Code Detail

MEDICARE: AFFINITY HOME CARE INC.

MEDICARE: AFFINITY HOME CARE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency
2253Z00000XIn Home Supportive Care Agency
33747A0650XAttendant Care Provider

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
130211210OTHERFLAHCA LICENSE NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184272387
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFFINITY HOME CARE INC.
Provider Business Mailing Address
First Line : PO BOX 1116
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33443-1116
Country : US
Telephone Number : 561-302-8398
Fax Number :
Provider Business Practice Location Address
First Line : 2240 W WOOLBRIGHT RD STE 211
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-6363
Country : US
Telephone Number : 561-302-8398
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : LARS ALTMAN
Credential :
Telephone Number : 561-302-8398
Provider Enumeration Date : 08/30/2019
Last Update Date : 11/20/2024

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Directions to “AFFINITY HOME CARE INC. ” Practice Location

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