Organization Active NPI

Affinity Home Care Agency, Inc.

  • Home Health Agency
  • Tallahassee, FL
National Provider Identifier
1790420883
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AFFINITY HOME CARE AGENCY, INC.
Practice address
1584 Metropolitan Blvd Ste 101
Tallahassee, FL 32308-1701
Phone
(850) 765-5241
NPI assigned
May 3, 2022
Last updated
May 3, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
AFFINITY HOME CARE AGENCY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Merlene D Johnson, MASTERS OF EDUCATION
Title
Regional Director
Phone
(850) 765-5241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1584 Metropolitan Blvd Ste 101
Tallahassee, FL 32308-1701

Mailing address

1584 Metropolitan Blvd Ste 101
Tallahassee, FL 32308-1701
Phone (850) 765-5241

Other names 1

  • Affinity Home Care Agency, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Affinity Home Care Agency Inc10 organizations share this tax ID, including this one
Part of
Affinity Home Care Agency Inc

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1790420883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 METROPOLITAN BLVD STE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081701",
            "telephone_number": "850-765-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1584 METROPOLITAN BLVD STE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081701",
            "telephone_number": "850-765-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HOME CARE AGENCY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFINITY HOME CARE AGENCY, INC.",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MERLENE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "850-765-5241",
        "authorized_official_credential": "MASTERS OF EDUCATION"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Home Care Agency, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Affinity Home Care Agency, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.