Affinity Genesis Enterprises Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

AFFINITY GENESIS ENTERPRISES INC

Practice address

1015 Roanoke Ave Ste G
Roanoke Rapids, NC 27870-3721

Phone

(252) 539-2018

NPI assigned

Jan 30, 2019

Last updated

Jun 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane Shaw

Title

Administrator

Phone

(252) 539-2018

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1487118808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 169",
            "city": "RICH SQUARE",
            "state": "NC",
            "postal_code": "278690169",
            "telephone_number": "252-539-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 ROANOKE AVE STE G",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703721",
            "telephone_number": "252-539-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY GENESIS ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-539-2018"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A and D Home Health Agency Corporation
• A Time for Healing LLC
• A.R.Bhagwandass.DMD.PA
• Abc Care LP
• Able Home Health Care, LLC
• Jeffery A Agan, PT
• Agape Healthcare Systems Corp
• Afe Danielle Nkese Alexis, M.B.B.S., MSC
• Aligned Solutions Group LLC
• Rebecca Marie Allen, CNA

• Nursing Care Agency in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Nursing Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.