Active NPI
Affinity Home Care Agency, Inc.
- Home Health Agency
- Tallahassee, FL
National Provider Identifier
1790420883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2022
- Organization subpart
- Yes
- Parent organization
- AFFINITY HOME CARE AGENCY, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider Directory- Tax ID family
- Affinity Home Care Agency Inc
- 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.
-
- Adult Companion
- Tampa, FL
- NPI 1053056978
-
- In Home Supportive Care Agency
- Vero Beach, FL
- NPI 1174490411
-
- In Home Supportive Care Agency
- Tallahassee, FL
- NPI 1205675824
-
- Homemaker
- Gainesville, FL
- NPI 1376939066
-
dba Affinity Home Care Agency in
- In Home Supportive Care Agency
- Sarasota, FL
- NPI 1790574630
-
- Homemaker
- Heathrow, FL
- NPI 1811495724
-
- Homemaker
- Vero Beach, FL
- NPI 1962888529
-
- Homemaker
- Tallahassee, FL
- NPI 1982037461
-
- In Home Supportive Care Agency
- Tallahassee, FL
- NPI 1982443446
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"
}
]
}
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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.