MEDICARE: AFFINITY CARE MHP 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	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1720825771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFINITY CARE MHP LLC

Provider Business Mailing Address
First Line	:	7800 E JEFFERSON AVE APT 1526
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48214-3727
Country	:	US
Telephone Number	:	248-985-6088
Fax Number	:

Provider Business Practice Location Address
First Line	:	7800 E JEFFERSON AVE APT 1526
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48214-3727
Country	:	US
Telephone Number	:	248-985-6088
Fax Number	:

Authorized Official
Title or Position	:	OWNER/AGENCY COORDINATOR
Name	:	MR. JOHN H LEWIS II
Credential	:
Telephone Number	:	248-985-6088

Provider Enumeration Date	:	07/09/2024
Last Update Date	:	07/09/2024

Similar Medicare Providers

1659237121 — MR. ROY ELLIS YOUNG II
Practice Location Address:

16827 PREST ST
DETROIT, MI
48235-3727

Practice Phone: 586-663-5340
Practice Fax:

1295079895 — MIA LOVE CPNP
Practice Location Address:

10800 E CANFIELD ST
DETROIT, MI
48214-1601

Practice Phone: 313-823-6000
Practice Fax: 313-876-1305

1629932512 — NEVAEH SKYE BULLITT
Practice Location Address:

10201 E JEFFERSON AVE
DETROIT, MI
48214-3149

Practice Phone: 313-446-8980
Practice Fax:

1972467876 — KAYLA ELIZABETH LEWIS
Practice Location Address:

10201 E JEFFERSON AVE
DETROIT, MI
48214-3149

Practice Phone: 313-446-8980
Practice Fax:

1104780931 — DAVENPORT LANDSCAPING LLC
Practice Location Address:

4520 FISCHER ST
DETROIT, MI
48214-1296

Practice Phone: 346-455-3431
Practice Fax:

1477416386 — EMILY NEENU JOHN
Practice Location Address:

1130 PARKER ST APT 711
DETROIT, MI
48214-3941

Practice Phone: 313-268-5068
Practice Fax:

Directions to “AFFINITY CARE MHP LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.