Organization Active NPI

Affinity Home Care Agency, Inc.

  • In Home Supportive Care Agency
  • Vero Beach, FL
National Provider Identifier
1174490411
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AFFINITY HOME CARE AGENCY, INC.
Practice address
4070 42ND SQ
Vero Beach, FL 32967-1962
Phone
(850) 765-5241
Fax
(360) 933-2951
NPI assigned
Oct 21, 2025
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AFFINITY HOME CARE AGENCY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Merlene Delois Johnson
Title
Director
Phone
(850) 765-5241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

4070 42ND SQ
Vero Beach, FL 32967-1962

Mailing address

1584 Metropolitan Blvd Ste 101
Tallahassee, FL 32308-1701
Phone (850) 765-5241

National Provider Directory

National Provider Directory
Tax ID family
Affinity Home Care Agency Inc10 organizations share this tax ID, including this one
Part of
Affinity Home Care Agency Inc

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1174490411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 METROPOLITAN BLVD STE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081701",
            "telephone_number": "850-765-5241",
            "fax_number": "360-933-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 42ND SQ",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329671962",
            "telephone_number": "850-765-5241",
            "fax_number": "360-933-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HOME CARE AGENCY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFINITY HOME CARE AGENCY, INC.",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MERLENE",
        "authorized_official_middle_name": "DELOIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-765-5241"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.