Provider Demographics
NPI:1912895178
Name:AFFINITY CAREGIVER SERVICES
Entity type:Organization
Organization Name:AFFINITY CAREGIVER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-401-9871
Mailing Address - Street 1:4163 N 60TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-2712
Mailing Address - Country:US
Mailing Address - Phone:402-401-9871
Mailing Address - Fax:
Practice Address - Street 1:4163 N 60TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-2712
Practice Address - Country:US
Practice Address - Phone:402-401-9871
Practice Address - Fax:402-401-9871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-26
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care