Affinity Direct Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AFFINITY DIRECT HOME CARE

Practice address

26700 Lahser Rd # 300-1120
Southfield, MI 48033-2608

Phone

(248) 900-1568

NPI assigned

Mar 5, 2024

Last updated

Mar 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shaneice Cobb

Title

Ceo

Phone

(248) 900-1568

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1770340762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26700 LAHSER RD # 300-1120",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332608",
            "telephone_number": "248-900-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26700 LAHSER RD # 300-1120",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332608",
            "telephone_number": "248-900-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY DIRECT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "SHANEICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-900-1568"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.