MEDICARE: 1 AFFINITY HEALTHCARE SERVICES 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1871930826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1 AFFINITY HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	6220 WESTPARK DRIVE SUIT #245F
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77053
Country	:	US
Telephone Number	:	281-799-6570
Fax Number	:	713-952-7226

Provider Business Practice Location Address
First Line	:	7708 PARK VISTA DRIVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072
Country	:	US
Telephone Number	:	281-799-6570
Fax Number	:	713-952-7226

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	MS. CATHERINE OYINKAN COLLINS
Credential	:	RN
Telephone Number	:	281-799-6570

Provider Enumeration Date	:	05/31/2013
Last Update Date	:	05/31/2013

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