NPIMap

Organization Active NPI

Affinity Healthcare LLC

Doing business as Ajoy Healthcare

  • Community Based Hospice Care Agency
  • Alpharetta, GA
National Provider Identifier
1164054953
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AFFINITY HEALTHCARE LLC
Doing business as
Ajoy Healthcare
Practice address
1111 Alderman Dr Ste 240
Alpharetta, GA 30005-4143
Phone
(678) 722-5513
Fax
(678) 722-5581
NPI assigned
Feb 10, 2020
Last updated
Jan 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Mrs. Jolanda Catoyia WilkersonNPI 1609435593
Title
Owner
Phone
(404) 316-9959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1111 Alderman Dr Ste 240
Alpharetta, GA 30005-4143

Mailing address

4625 Sundance Cir
Cumming, GA 30028-3416
Phone (404) 316-9959

Other names 1

  • Ajoy Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200410002317 GA Part A Provider - Hospice 0244669398 Practice locations: Alpharetta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164054953. Details of each certification follow.

Hospice certification: CCN 851533

Legal name
AFFINITY HEALTHCARE LLC
Doing business as
AJOY HEALTHCARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 15, 2020
Last certification
Jul 15, 2020
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Incorporated
Jan 16, 2020 in GA
Enrollment address
1111 Alderman Dr
Ste 240
Alpharetta, GA 30005-4143

Care Compare: Hospice

Medicare Care Compare
Listed as
Ajoy HealthcareCCN 851533 · All quality measures
Ownership
For-Profit
Certified
Jul 15, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Affinity Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1111 Alderman Dr
Ste 240
Alpharetta, GA 30005
Phone (678) 722-5513

3442 Francis Rd
Ste 150
Alpharetta, GA 30004

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.

NameRoleSinceShare
Jolanda Catoyia Wilkerson Individual Contracted Managing EmployeeAd; Jan 16, 2020 100%
5% Or Greater Direct Ownership InterestOwner Jan 16, 2020 100%
Operational/Managerial Control Jan 16, 2020 100%
Darrell Lee Murray Individual Contracted Managing EmployeeMD; Jan 1, 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.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1164054953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 SUNDANCE CIR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300283416",
            "telephone_number": "404-316-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 ALDERMAN DR STE 240",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054143",
            "telephone_number": "678-722-5513",
            "fax_number": "678-722-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "JOLANDA",
        "authorized_official_middle_name": "CATOYIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-316-9959",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ajoy Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.