Active NPI
Affinity Health Care Providers, Inc
- Home Health Agency
- Los Angeles, CA
National Provider Identifier
1649465402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 6, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1099634 | Affinity Health Care Providers, Inc | Certificate of waiver | May 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Erna Farin | 5% Or Greater Direct Ownership Interest | May 1, 2024 | 100% |
| Corporate Officer | May 1, 2024 | 100% | |
| Corporate Director | Aug 1, 2008 | ||
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.