Provider Demographics
NPI:1891418752
Name:AFFINITY HOSPICE LLC
Entity Type:Organization
Organization Name:AFFINITY HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:J
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-357-1101
Mailing Address - Street 1:2720 S RIVER RD STE 132
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4110
Mailing Address - Country:US
Mailing Address - Phone:224-357-1101
Mailing Address - Fax:224-357-1104
Practice Address - Street 1:2720 S RIVER RD STE 132
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4110
Practice Address - Country:US
Practice Address - Phone:224-357-1101
Practice Address - Fax:224-357-1104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based