Affinity Care Group, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

AFFINITY CARE GROUP, LLC

Practice address

1951 Chartridge Dr
Cordova, TN 38016-2385

Phone

(901) 606-6352

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By 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

Daniel Okemba Okello, BEHAVIOR ANALYSTNPI 1679880546

Title

Member

Phone

(901) 606-6352

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Okemba Okello, BCBA

  • Behavior Analyst
  • Cordova, TN
  • NPI 1679880546
  Authorized official Same address or phone

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1780165951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 CHARTRIDGE DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162385",
            "telephone_number": "901-606-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 CHARTRIDGE DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162385",
            "telephone_number": "901-606-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY CARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "OKELLO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "OKEMBA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "901-606-6352",
        "authorized_official_credential": "BEHAVIOR ANALYST"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Cordova, TN
• Providers in Cordova, TN by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.