Provider Demographics
NPI:1952617680
Name:AFFINITY HOLDINGS, LLC
Entity Type:Organization
Organization Name:AFFINITY HOLDINGS, LLC
Other - Org Name:OPTIMAL HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARRELL
Authorized Official - Middle Name:
Authorized Official - Last Name:DIERKS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:602-466-7570
Mailing Address - Street 1:668 N 44TH ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-6506
Mailing Address - Country:US
Mailing Address - Phone:602-466-7570
Mailing Address - Fax:602-466-7507
Practice Address - Street 1:668 N 44TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-6506
Practice Address - Country:US
Practice Address - Phone:602-466-7570
Practice Address - Fax:602-466-7507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health