Affinity Care Solutions LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

AFFINITY CARE SOLUTIONS LLC

Practice address

564 Rogers Dr
Macon, GA 31204-1740

Phone

(478) 256-5143

NPI assigned

Feb 12, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Selentria Mignon Kendrick, MS

Title

Owner/Care Manager

Phone

(478) 256-5143

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1053810440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13778",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312083778",
            "telephone_number": "478-256-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 ROGERS DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041740",
            "telephone_number": "478-256-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY CARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "SELENTRIA",
        "authorized_official_middle_name": "MIGNON",
        "authorized_official_title_or_position": "OWNER/CARE MANAGER",
        "authorized_official_telephone_number": "478-256-5143",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "055701657",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.