Organization Active NPI

Affinity Home Care Inc.

  • Attendant Care Provider
  • Pompano Beach, FL
National Provider Identifier
1124290978
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
AFFINITY HOME CARE INC.
Practice address
440 E Sample Rd Ste 206
Pompano Beach, FL 33064-4440
Phone
(954) 427-6916
Fax
(954) 782-3643
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Lars Altman
Title
Vice President
Phone
(561) 302-8398

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

440 E Sample Rd Ste 206
Pompano Beach, FL 33064-4440

Mailing address

PO Box 1116
Deerfield Beach, FL 33443-1116
Phone (561) 302-8398

Other practice location 1

18425 NW 2nd Ave Ste 401
Miami Gardens, FL 33169-4525
Phone (305) 625-9299

Other practice location 2

2240 W Woolbright Rd Ste 211
Boynton Beach, FL 33426-6363
Phone (561) 483-4044

Other identifiers 8

IdentifierTypeStateIssuer
6914713-00MedicaidFL
101506400MedicaidFL
691471301MedicaidFL
6885225-00MedicaidFL
688522579MedicaidFL
6885225-79MedicaidFL
688522500MedicaidFL
691471300MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Affinity Home Care Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

440 E Sample Rd
Ste 206
Pompano Beach, FL 33064
Phone (561) 613-3626

100 E Sample Rd
Ste 110
Pompano Beach, FL 33064

440 E Sample Rd
Ste 201
Pompano Beach, FL 33064

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1124290978",
    "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",
            "telephone_number": "561-302-8398",
            "fax_number": "561-483-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E SAMPLE RD STE 206",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644440",
            "telephone_number": "954-427-6916",
            "fax_number": "954-782-3643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18425 NW 2nd Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "331694525",
            "country_code": "US",
            "telephone_number": "305-625-9299",
            "fax_number": "305-705-2695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 W Woolbright Rd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334266363",
            "country_code": "US",
            "telephone_number": "561-483-4044",
            "fax_number": "561-483-4045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AFFINITY HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "LARS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "561-302-8398"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6914713-00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101506400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691471301",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6885225-00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688522579",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6885225-79",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688522500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691471300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.