AFFINITY CARE OF INDIANA LLC NPI 1982360350

NPI Information

NPI: 1982360350
Provider Name: AFFINITY CARE OF INDIANA LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 15D2244785

Address:
3935 EAGLE CREEK PKWY STE G
INDIANAPOLIS, IN
ZIP 46254
Phone: (463) 232-3300
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AFFINITY CARE OF INDIANA LLC is a hospice care community based in Indianapolis, IN. AFFINITY CARE OF INDIANA LLC NPI is 1982360350. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3935 EAGLE CREEK PKWY STE G
INDIANAPOLIS, IN
ZIP 46254-690
Phone: (463) 232-3300

The provider's authorized official is Samuel Stern .
The authorized official title is Ceo / Owner and has the following contact phone number (510) 499-9977.

The CLIA number assigned to this NPI record is 15D2244785 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2021 and was last updated on 3/24/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207QH0002X	Family Medicine	Hospice and Palliative Medicine	No
2	207RH0002X	Internal Medicine	Hospice and Palliative Medicine	No
3	363LA2200X	Nurse Practitioner	Adult Health	No
4	363LF0000X	Nurse Practitioner	Family	No
5	251G00000X	Hospice Care, Community Based		Yes

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

NPI Synchronization or Removal

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