Organization Active NPI

Affinity Health Care Providers, Inc

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1649465402
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AFFINITY HEALTH CARE PROVIDERS, INC
Practice address
1551 Colorado Blvd
Ste. 203
Los Angeles, CA 90041-1400
Phone
(323) 259-9821
Fax
(323) 259-9960
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Authorized official

Name
Ms. Erna F Farin, N/A
Title
President/Ceo
Phone
(323) 259-9821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1551 Colorado Blvd
Ste. 203
Los Angeles, CA 90041-1400

Mailing address

1551 Colorado Blvd
Ste. 203
Los Angeles, CA 90041-1400
Phone (323) 259-9821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080827000011 CA Part A Provider - Home Health Agency 2567537541 Practice locations: Los Angeles, CA

Home health agency certification: CCN 059448

Legal name
AFFINITY HEALTH CARE PROVIDERS INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 6, 2012
Last certification
Jul 29, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 20, 2007 in CA
Enrollment address
1551 Colorado Blvd
Ste 203
Los Angeles, CA 90041-1496

Care Compare: Home health agency

Medicare Care Compare
Listed as
Affinity Health Care Providers, IncCCN 059448
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Aug 6, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1099634Affinity Health Care Providers, Inc1551 Colorado Blvd Suite 203, Los Angeles, CA 90041Certificate of waiverMay 18, 2027

National Provider Directory

National Provider Directory

Locations

1551 Colorado Blvd
Ste 203
Los Angeles, CA 90041
Phone (323) 259-9821

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Erna Farin Individual 5% Or Greater Direct Ownership Interest May 1, 2024 100%
Corporate OfficerPresident/Ceo May 1, 2024 100%
Corporate Director Aug 1, 2008
W-2 Managing EmployeePresident/Ceo May 1, 2024 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1649465402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 COLORADO BLVD",
            "address_2": "STE. 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411400",
            "telephone_number": "323-259-9821",
            "fax_number": "323-259-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 COLORADO BLVD",
            "address_2": "STE. 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411400",
            "telephone_number": "323-259-9821",
            "fax_number": "323-259-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTH CARE PROVIDERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "FARIN",
        "authorized_official_first_name": "ERNA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "323-259-9821",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.