Affinity Home Medical Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

436 Issued in AL

Legal business name

AFFINITY HOME MEDICAL INC.

Practice address

724 Lakeside Dr
Mobile, AL 36693-5112

Phone

(251) 666-2002

Fax

(251) 666-2202

NPI assigned

Aug 16, 2006

Organization subpart

No

Name

Chris O'Gwynn

Title

President

Phone

(251) 666-2002

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2007.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1003929936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 LAKESIDE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366935112",
            "telephone_number": "251-666-2002",
            "fax_number": "251-666-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 LAKESIDE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366935112",
            "telephone_number": "251-666-2002",
            "fax_number": "251-666-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HOME MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "O'GWYNN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-666-2002"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911385",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.