NPIMap

Organization Active NPI

Affinity Care of Hillsborough LLC

  • Community Based Hospice Care Agency
  • Tampa, FL
National Provider Identifier
1730997230
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 HILLSBOROUGH LLC
Practice address
4510 Oak Fair Blvd Ste 130
Tampa, FL 33610-7346
Phone
(813) 535-7711
Fax
(813) 433-5102
NPI assigned
Dec 30, 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 Primary

Addresses

Primary practice location

4510 Oak Fair Blvd Ste 130
Tampa, FL 33610-7346

Mailing address

4510 Oak Fair Blvd Ste 130
Tampa, FL 33610-7346
Phone (813) 535-7711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250530003250 FL Part A Provider - Hospice 5294244372 Practice locations: Tampa, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730997230. Details of each certification follow.

Hospice certification: CCN 101576

Legal name
AFFINITY CARE OF HILLSBOROUGH LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 24, 2025
Last certification
Apr 24, 2025
Organization structure
LLCProprietary
Enrollment address
4510 Oak Fair Blvd
Ste 130
Tampa, FL 33610-7346

Care Compare: Hospice

Medicare Care Compare
Listed as
Affinity Care of Hillsborough LLCCCN 101576 · All quality measures
Certified
Apr 24, 2025
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
10D2318156Affinity Care of Hillsborough LLC4510 Oak Fair Blvd Ste 130, Tampa, FL 33610Certificate of waiverFeb 5, 2027

National Provider Directory

National Provider Directory

Locations

4510 Oak Fair Blvd
Ste 130
Tampa, FL 33610
Phone (813) 535-7711

Ownership & related parties

All disclosed owners & managing parties 4

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 5% Or Greater Direct Ownership Interest Feb 8, 2024 95%
Samuel Stern Individual Contracted Managing EmployeeCeo Feb 8, 2024
5% Or Greater Indirect Ownership InterestCeo Feb 8, 2024 5%
Corporate OfficerCeo Feb 8, 2024
Corporate DirectorCeo Feb 8, 2024
Dennys Terry Morales Individual W-2 Managing EmployeeAd; Jul 7, 2024
Raidel Valdes Crespo Individual W-2 Managing EmployeeMD; Mar 19, 2024

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 8

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

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1730997230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 OAK FAIR BLVD STE 130",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107346",
            "telephone_number": "813-535-7711",
            "fax_number": "813-433-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 OAK FAIR BLVD STE 130",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107346",
            "telephone_number": "813-535-7711",
            "fax_number": "813-433-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY CARE OF HILLSBOROUGH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.