NPIMap

Organization Active NPI

Affinity Care of Charlotte and Desoto LLC

  • Community Based Hospice Care Agency
  • Port Charlotte, FL
National Provider Identifier
1679335533
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AFFINITY CARE OF CHARLOTTE AND DESOTO LLC
Practice address
18501 Murdock Cir Ste 103
Port Charlotte, FL 33948-4002
Phone
(941) 336-5001
Fax
(941) 870-6637
NPI assigned
Jan 26, 2024
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Samuel Stern
Title
Ceo
Phone
(510) 499-9977

Specialties & licenses 1

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

Addresses

Primary practice location

18501 Murdock Cir Ste 103
Port Charlotte, FL 33948-4002

Mailing address

18501 Murdock Cir Ste 103
Port Charlotte, FL 33948-4002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240710002692 FL Part A Provider - Hospice 7416492855 Practice locations: Port Charlotte, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679335533. Details of each certification follow.

Hospice certification: CCN 101574

Legal name
AFFINITY CARE OF CHARLOTTE AND DESOTO LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 31, 2024
Last certification
Jul 31, 2024
Organization structure
LLCProprietary
Incorporated
Mar 4, 2022 in FL
Enrollment address
18501 Murdock Cir
Ste 103
Port Charlotte, FL 33948-4002

Care Compare: Hospice

Medicare Care Compare
Listed as
Affinity Care of Charlotte and Desoto LLCCCN 101574 · All quality measures
Certified
Jul 31, 2024
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2301698Affinity Care of Charlotte and Desoto LLC18501 Murdock Circle - Unit 103, Port Charlotte, FL 33948Certificate of waiverMar 28, 2028

National Provider Directory

National Provider Directory

Locations

18501 Murdock Cir
Ste 103
Port Charlotte, FL 33948
Phone (941) 336-5001

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Sygs Management LLC Organization, Brooklyn, NY LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 29, 2024 100%
Samuel Stern Individual 5% Or Greater Indirect Ownership InterestCeo May 29, 2024 5%
Corporate OfficerCeo Mar 4, 2022 100%
Corporate DirectorCeo Mar 4, 2022 100%
Operational/Managerial ControlCeo Mar 4, 2022 100%
Sygs 2023 Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest May 29, 2024 95%
Dana Cukan Individual W-2 Managing EmployeeHospice Administrator Feb 18, 2026
James P Floyd Individual W-2 Managing EmployeeMD; Apr 24, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1679335533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18501 MURDOCK CIR STE 103",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18501 MURDOCK CIR STE 103",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484002",
            "telephone_number": "941-336-5001",
            "fax_number": "941-870-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY CARE OF CHARLOTTE AND DESOTO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-499-9977"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.