Provider Demographics
NPI:1376917682
Name:AFFINITY CARE PROVIDERS, LLC
Entity Type:Organization
Organization Name:AFFINITY CARE PROVIDERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATION
Authorized Official - Prefix:MS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:RHIA
Authorized Official - Phone:816-945-9570
Mailing Address - Street 1:8320 N OAK TRFY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-1254
Mailing Address - Country:US
Mailing Address - Phone:816-945-9570
Mailing Address - Fax:
Practice Address - Street 1:8320 N OAK TRFY
Practice Address - Street 2:SUITE 220
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-1254
Practice Address - Country:US
Practice Address - Phone:816-945-9570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-24
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health