- Enrollment id
- O20250220003276
- Enrollment state
- NV
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1306684998
- Multiple npi flag
- N
- Ccn
- 297377
- Associate id
- 3779003785
- Organization name
- AFFINITY HOME HEALTHCARE LLC
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 6787 W TROPICANA AVE
- Address line 2
- STE 262
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891034348