Active NPI
Affinity Home Healthcare, LLC
- Home Health Agency
- Miami Gardens, FL
National Provider Identifier
1104402445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AFFINITY HOME HEALTHCARE, LLC
- Practice address
- 18425 NW 2ND Ave Ste 401
Miami Gardens, FL 33169-4525 - Phone
- (305) 625-9299
- NPI assigned
- Mar 18, 2021
- Organization subpart
- Yes
- Parent organization
- AFFINITY HOME HEALTHCARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ranon Altman
- Title
- Vice President
- Phone
- (954) 782-3741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
18425 NW 2ND Ave Ste 401
Miami Gardens, FL 33169-4525
Mailing address
PO Box 1116
Deerfield Beach, FL 33443-1116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299994947 | Other | FL | STATE LICENSE |
Other names 1
- Affinity Home Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200513002308 | FL | Part A Provider - Home Health Agency | 2264863042 |
1 other NPI on this enrollment Practice locations: Miami Gardens, FL |
Home health agency certification: CCN 687064
- Legal name
- AFFINITY HOME HEALTHCARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 13, 2020
- Last certification
- Nov 13, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Mar 7, 2019 in FL
- Enrollment address
- 18425 NW 2ND Ave
Ste 401
Miami Gardens, FL 33169-4525
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Affinity Home Healthcare LLC
- Ownership
- Proprietary
- Certified
- Nov 13, 2020
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Affinity Home Healthcare LLC
- Part of
- Affinity Home Healthcare LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Lake Worth, FL
- NPI 1265017693
Locations
2328 10th Ave N
Ste 600
Lake Worth, FL 33461
Phone (561) 483-4044
18425 NW 2nd Ave
Ste 401
Miami Gardens, FL 33169
Phone (305) 625-9299
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lev Altman | 5% Or Greater Direct Ownership Interest | Mar 7, 2019 | 100% |
| Corporate Director | Mar 7, 2019 | 50% | |
| Ranon Altman | Corporate Director | Mar 7, 2019 | 50% |
| W-2 Managing Employee | Mar 7, 2019 | 100% |
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Home Health Agency
- Pompano Beach, FL
- NPI 1316408842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616025600000",
"number": "1104402445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1116",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334431116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18425 NW 2ND AVE STE 401",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331694525",
"telephone_number": "305-625-9299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFINITY HOME HEALTHCARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AFFINITY HOME HEALTHCARE, LLC",
"enumeration_date": "2021-03-18",
"last_updated": "2021-03-18",
"certification_date": "2021-03-17",
"status": "A",
"authorized_official_last_name": "ALTMAN",
"authorized_official_first_name": "RANON",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "954-782-3741"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "299994947",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Affinity Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.