- Enrollment id
- O20240703000352
- Enrollment state
- MA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1588437818
- Multiple npi flag
- N
- Ccn
- 225445
- Associate id
- 2365986288
- Organization name
- AFFINITY HEALTHCARE LLC
- Doing business as name
- AFFINITY HEALTHCARE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- AFFINITY HEALTHCARE
- Address line 1
- 1102 WASHINGTON ST
- City
- BRAINTREE
- State
- MA
- Zip code
- 021845438