MEDICARE: AFFINITY CARE PROVIDERS, LLC

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1376917682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFINITY CARE PROVIDERS, LLC

Provider Business Mailing Address
First Line	:	8320 N OAK TRFY
Second Line	:	SUITE 220
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-1254
Country	:	US
Telephone Number	:	816-945-9570
Fax Number	:

Provider Business Practice Location Address
First Line	:	8320 N OAK TRFY
Second Line	:	SUITE 220
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-1254
Country	:	US
Telephone Number	:	816-945-9570
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF ADMINISTRATION
Name	:	MS. VIRGINIA CRAIG
Credential	:	RHIA
Telephone Number	:	816-945-9570

Provider Enumeration Date	:	11/24/2015
Last Update Date	:	03/15/2016

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