Provider Demographics
NPI:1831845411
Name:AFFINITY CARE OF NORTHERN OHIO LLC
Entity type:Organization
Organization Name:AFFINITY CARE OF NORTHERN OHIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-499-9977
Mailing Address - Street 1:25 S MAIN ST STE 6
Mailing Address - Street 2:
Mailing Address - City:MUNROE FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44262-1600
Mailing Address - Country:US
Mailing Address - Phone:330-443-9800
Mailing Address - Fax:330-752-9347
Practice Address - Street 1:25 S MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:MUNROE FALLS
Practice Address - State:OH
Practice Address - Zip Code:44262-1660
Practice Address - Country:US
Practice Address - Phone:330-443-9800
Practice Address - Fax:330-752-9347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based