Organization Active NPI

Affinity Healthcare Services, Inc.

Doing business as Affinity Home Hospice

  • Community Based Hospice Care Agency
  • Birmingham, AL
National Provider Identifier
1477642197
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
11682 Issued in AL
Legal business name
AFFINITY HEALTHCARE SERVICES, INC.
Doing business as
Affinity Home Hospice
Practice address
140 Oxmoor Blvd
Suite 170
Birmingham, AL 35209-5986
Phone
(205) 949-0400
Fax
(205) 949-0405
NPI assigned
Oct 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sandra R McKenzie, RN
Title
President and Ceo
Phone
(205) 949-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 11682 AL Primary

Addresses

Primary practice location

140 Oxmoor Blvd
Suite 170
Birmingham, AL 35209-5986

Mailing address

140 Oxmoor Blvd
Suite 170
Birmingham, AL 35209-5986
Phone (205) 949-0400

Other identifiers 2

IdentifierTypeStateIssuer
PIC1624EMedicaidAL
012-00577OtherALBLUE CROSS BLUE SHIELD

Other names 1

  • Affinity Home Hospice Doing business as

National Provider Directory

National Provider Directory

Locations

140 Oxmoor Blvd
Ste 170
Birmingham, AL 35209
Phone (205) 949-0400

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477642197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 OXMOOR BLVD",
            "address_2": "SUITE 170",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095986",
            "telephone_number": "205-949-0400",
            "fax_number": "205-949-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OXMOOR BLVD",
            "address_2": "SUITE 170",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095986",
            "telephone_number": "205-949-0400",
            "fax_number": "205-949-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "205-949-0400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "11682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1624E",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "012-00577",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Home Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.