Affinity Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

LC001490103 Issued in MO

Legal business name

AFFINITY HOME CARE LLC

Practice address

3720 Hampton Ave Ste 102a
Saint Louis, MO 63109-1438

Phone

(314) 744-9844

NPI assigned

Dec 7, 2016

Organization subpart

No

Name

Keyeonta Stewart, BSW,MANPI 1508123597

Title

Administrator

Phone

(314) 744-9844

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keyeonta L Stewart

  • Case Manager/Care Coordinator
  • Saint Louis, MO
  • NPI 1508123597
  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2023.

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1750825907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 HAMPTON AVE STE 102A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091438",
            "telephone_number": "314-744-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 HAMPTON AVE STE 102A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091438",
            "telephone_number": "314-744-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KEYEONTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-744-9844",
        "authorized_official_credential": "BSW,MA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "LC001490103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Saint Louis, MO
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.