Provider Demographics
NPI:1508315094
Name:AFFINITY AMERICA HOME CARE & PERSONAL SERVICES, LLC
Entity Type:Organization
Organization Name:AFFINITY AMERICA HOME CARE & PERSONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:LOVELACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-886-6748
Mailing Address - Street 1:9804 E 87TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64138-4704
Mailing Address - Country:US
Mailing Address - Phone:816-886-6748
Mailing Address - Fax:816-886-6748
Practice Address - Street 1:9804 E 87TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64138-4704
Practice Address - Country:US
Practice Address - Phone:816-886-6748
Practice Address - Fax:816-886-6748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251J00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care