NPIMap

Organization Active NPI

Affinity Healthcare LLC

  • 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
Practice address
1111 Alderman Dr Ste 240
Alpharetta, GA 30005-4143
Phone
(678) 722-5513
Fax
(678) 722-5581
NPI assigned
Feb 10, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
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.

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Hospice

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

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

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

All disclosed owners & managing parties 2

Medicare enrollment files

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%

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

3442 Francis Rd
Ste 150
Alpharetta, GA 30004

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
  • Ajoy Healthcare Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2023.

{
    "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.