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AFFINITY HEALTHCARE LLC NPI 1730721374


NPI Information

NPI: 1730721374
Provider Name: AFFINITY HEALTHCARE LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
1822 15TH ST
SUITE 8
GULFPORT, MS
ZIP 39501
Phone: (228) 233-3574
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AFFINITY HEALTHCARE LLC is an in home supportive care in Gulfport, MS. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. AFFINITY HEALTHCARE LLC NPI is 1730721374. The provider is registered as an organization entity type.

The provider's business location address is:

1822 15TH ST
SUITE 8
GULFPORT, MS
ZIP 39501
Phone: (228) 233-3574
Fax: (228) 233-3576

The provider's authorized official is Angela Carter .
The authorized official title is Administrator and has the following contact phone number (228) 233-3574.

The enumeration date for this NPI number is 10/15/2019 and was last updated on 5/19/2020.


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
1343900000XNon-emergency Medical Transport (VAN)No
2376J00000XHomemakerNo
3385H00000XRespite CareNo
4385HR2055XRespite CareRespite Care, Mental Illness, ChildNo
5385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
6253Z00000XIn Home Supportive CareYes

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
11186848OTHERMISSISSIPPIBUISNESS ID

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: 4/28/2024

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