Organization Active NPI

Affinity Cares Homecare LLC

  • In Home Supportive Care Agency
  • Alpharetta, GA
National Provider Identifier
1891461976
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AFFINITY CARES HOMECARE LLC
Practice address
4555 Mansell Rd Ste 150
Alpharetta, GA 30022-8278
Phone
(678) 722-5513
NPI assigned
Aug 19, 2021
Last updated
Aug 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Jolanda WilkersonNPI 1609435593
Title
Owner/Administrator
Phone
(678) 722-5513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

4555 Mansell Rd Ste 150
Alpharetta, GA 30022-8278

Mailing address

4625 Sundance Cir
Cumming, GA 30028-3416
Phone (678) 722-5513

National Provider Directory

National Provider Directory

Locations

4555 Mansell Rd
Ste 150
Alpharetta, GA 30022
Phone (678) 722-5513

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1891461976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 SUNDANCE CIR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300283416",
            "telephone_number": "678-722-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 MANSELL RD STE 150",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228278",
            "telephone_number": "678-722-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY CARES HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "JOLANDA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "678-722-5513"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.