Affinity Afc LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

AFFINITY AFC LLC

Practice address

101 Mystic Ave
Medford, MA 02155-4628

Phone

(617) 777-7050

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Vladislav Vilkomir

Title

Manager

Phone

(617) 777-7050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1104562131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ELLIOT ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MYSTIC AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554628",
            "telephone_number": "617-777-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY AFC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "VILKOMIR",
        "authorized_official_first_name": "VLADISLAV",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-777-7050"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Alexandra Kredlow Acunzo, PH.D.
• Marie Angeli C. Adamczyk, MD
• Todd Christopher Adams, M.D.
• Adelis Health PLLC
• Aeger Inpatient Services
• Andrena K Afolabi, PTA
• Emmanuel Tetteh Agbottah, FNP
• Tala Ziad Akari
• Nassr Al-Nuaimi, DMD
• Abdullah Saeed Alayad, BDS

• Adult Care Home Facility in Medford, MA
• Providers in Medford, MA by specialty
• Adult Care Home Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.