NPIMap

Organization Active NPI

Affinity Home Care Agency, Inc.

  • Homemaker
  • Gainesville, FL
National Provider Identifier
1376939066
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
233632 Issued in FL
Legal business name
AFFINITY HOME CARE AGENCY, INC.
Practice address
1731 NW 6TH St Ste A2
Gainesville, FL 32609-8515
Phone
(850) 345-4806
Fax
(360) 933-2951
NPI assigned
Apr 9, 2015
Last updated
Mar 8, 2023By 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 Mar 8, 2023

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

Authorized official

Name
Merlene Delois Johnson, MASTERS OF BUSINESS
Title
Director
Phone
(850) 765-5241

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X
Homemaker 376J00000X 233632 FL Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1731 NW 6TH St Ste A2
Gainesville, FL 32609-8515

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
005820000MedicaidFL
005820001MedicaidFL
115511700MedicaidFL

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.

Locations

1731 NW 6th St
Ste A2
Gainesville, FL 32609
Phone (850) 345-4806

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1376939066",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 NW 6TH ST STE A2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326098515",
            "telephone_number": "850-345-4806",
            "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": "2015-04-09",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "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",
        "authorized_official_credential": "MASTERS OF BUSINESS"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "233632",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005820000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005820001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115511700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.