NPIMap

Organization Active NPI

Affinity Home Care Agency, Inc.

  • Homemaker
  • Vero Beach, FL
National Provider Identifier
1962888529
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
372600000X Issued in FL
Legal business name
AFFINITY HOME CARE AGENCY, INC.
Practice address
4070 42ND Square
Vero Beach, FL 32967
Phone
(850) 345-4806
NPI assigned
Aug 6, 2015
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X 372600000X FL Primary

Addresses

Primary practice location

4070 42ND Square
Vero Beach, FL 32967

Mailing address

4070 42ND Square
Vero Beach, FL 32967-3902
Phone (850) 345-4806

Other identifiers 1

IdentifierTypeStateIssuer
005820003MedicaidFL

Other names 1

  • Affinity Home Care Agency, Inc. Former legal business 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": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1962888529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 42ND SQUARE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329673902",
            "telephone_number": "850-345-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 42ND SQUARE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32967",
            "telephone_number": "850-345-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HOME CARE AGENCY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFINITY HOME CARE AGENCY, INC.",
        "enumeration_date": "2015-08-06",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "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": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "FL",
            "license": "372600000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005820003",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Home Care Agency, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Vero Beach, 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.