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AFFINITY HOME CARE AGENCY INC. NPI 1053056978


NPI Information

NPI: 1053056978
Provider Name: AFFINITY HOME CARE AGENCY, INC.
Classification: Adult Companion - 372600000X
Entity Type: Organization
Address:
100 S ASHLEY DR STE 600
TAMPA, FL
ZIP 33602
Phone: (850) 765-5241
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AFFINITY HOME CARE AGENCY, INC. is an adult companion in Tampa, FL. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. AFFINITY HOME CARE AGENCY, INC. NPI is 1053056978. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 S ASHLEY DR STE 600
TAMPA, FL
ZIP 33602-300
Phone: (850) 765-5241

The provider's authorized official is Merlene Delois Johnson .
The authorized official title is Regional Director and has the following contact phone number (850) 765-5241.

The enumeration date for this NPI number is 5/4/2022 and was last updated on 5/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1376J00000XHomemakerNo
2372600000XAdult CompanionYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10058200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.