Affiance Health Care Services,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299993654 Issued in FL

Legal business name

AFFIANCE HEALTH CARE SERVICES,LLC

Practice address

6015 Chester Circle Ste 104
Jacksonville, FL 32217-2265

Phone

(904) 683-8666

Fax

(904) 683-8666

NPI assigned

Jan 29, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Rugiatu Mansaray

Title

Administrtor/D.O.N

Phone

(904) 683-8666

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1598096604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 CHESTER CIRCLE STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172265",
            "telephone_number": "904-683-8666",
            "fax_number": "904-683-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 CHESTER CIRCLE STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172265",
            "telephone_number": "904-683-8666",
            "fax_number": "904-683-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFIANCE HEALTH CARE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "MANSARAY",
        "authorized_official_first_name": "RUGIATU",
        "authorized_official_title_or_position": "ADMINISTRTOR/D.O.N",
        "authorized_official_telephone_number": "904-683-8666",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001433200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.