NPIMap

Organization Active NPI

Affinity Care of Maine LLC

  • Community Based Hospice Care Agency
  • South Portland, ME
National Provider Identifier
1013641463
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AFFINITY CARE OF MAINE LLC
Practice address
1 Runway Rd Ste 5
South Portland, ME 04106-6169
Phone
(207) 345-6669
Fax
(207) 544-5533
NPI assigned
Jul 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samuel Stern
Title
Ceo
Phone
(510) 499-9977

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1 Runway Rd Ste 5
South Portland, ME 04106-6169

Mailing address

1 Runway Rd Ste 5
South Portland, ME 04106-6169
Phone (207) 345-6669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221228000137 ME Part A Provider - Hospice 1456721976 Practice locations: South Portland, ME; Waterville, ME
O20240124001716 ME Part B Supplier - Clinic/Group Practice 1456721976 Receives reassigned benefits from 3 practitioners
Practice locations: South Portland, ME

Hospice certification: CCN 201524

Legal name
AFFINITY CARE OF MAINE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 1, 2023
Last certification
Feb 1, 2023
Organization structure
LLCProprietary
Incorporated
Jul 11, 2022 in ME
Enrollment address
1 Runway Rd
Ste 5
South Portland, ME 04106-6169

Care Compare: Hospice

Medicare Care Compare
Listed as
Affinity Care of Maine, LLCCCN 201524
Certified
Feb 1, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2268672Affinity Care of Maine LLC1 Runway Rd Ste 5, South Portland, ME 04106Certificate of waiverSep 14, 2026

National Provider Directory

National Provider Directory

Locations

600 Southborough Dr
Ste 103
South Portland, ME 04106
Phone (207) 345-6669

1 Runway Rd
Ste 5
South Portland, ME 04106
Phone (207) 345-6669

324 Cummings Rd
Ste D
South Portland, ME 04106

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Starco Management LLC Organization, Brooklyn, NY LLC, Holding company 5% Or Greater Direct Ownership Interest Feb 6, 2026 100%
Joanna E Rulf Individual W-2 Managing EmployeeMD; May 8, 2023
Samuel Stern Individual 5% Or Greater Indirect Ownership InterestCeo Feb 6, 2026 10%
Corporate OfficerMember Jul 11, 2022
Corporate DirectorMember Jul 11, 2022
W-2 Managing Employee Jul 11, 2022
Operational/Managerial ControlMember Jul 11, 2022
Stern Family 2019 Trust Organization, Brooklyn, NY LLC 5% Or Greater Indirect Ownership Interest Feb 6, 2026 90%
Jessica Duffy Individual W-2 Managing EmployeeHospice Administrator Sep 6, 2022 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1013641463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RUNWAY RD STE 5",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066169",
            "telephone_number": "207-345-6669",
            "fax_number": "207-544-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RUNWAY RD STE 5",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066169",
            "telephone_number": "207-345-6669",
            "fax_number": "207-544-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY CARE OF MAINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-499-9977"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.