Organization Active NPI

Affinity Home Care Inc.

  • Attendant Care Provider
  • Miami Gardens, FL
National Provider Identifier
1992194583
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
AFFINITY HOME CARE INC.
Practice address
18425 NW 2ND Ave Ste 401
Miami Gardens, FL 33169-4525
Phone
(305) 625-9299
Fax
(305) 705-2695
NPI assigned
Jan 20, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lars Altman
Title
Vice-President
Phone
(561) 302-8398

Corporate family (same tax ID) 5

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

National Provider Directory

Tax ID family
Affinity Home Care Inc (6 organizations share this tax ID)

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30211725 FL
Nursing Care Agency 251J00000X 30211725 FL
In Home Supportive Care Agency 253Z00000X
Attendant Care ProviderGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747A0650X Primary

Addresses

NPPES NPI Registry

Primary practice location

18425 NW 2ND Ave Ste 401
Miami Gardens, FL 33169-4525

Mailing address

PO Box 1116
Deerfield Beach, FL 33443-1116
Phone (561) 302-8398

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
101506400MedicaidFL
691471300MedicaidFL
30211725OtherFLAHCA LICENSE #

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2022.

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1992194583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1116",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334431116",
            "telephone_number": "561-302-8398",
            "fax_number": "954-782-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 NW 2ND AVE STE 401",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694525",
            "telephone_number": "305-625-9299",
            "fax_number": "305-705-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "LARS",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "561-302-8398"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30211725",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "30211725",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101506400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691471300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE #",
            "identifier": "30211725",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.