Provider Demographics
NPI:1033918008
Name:AFFINITY HEALTHCARE LLC
Entity type:Organization
Organization Name:AFFINITY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOLANDA
Authorized Official - Middle Name:CATOYIA
Authorized Official - Last Name:WILKERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:404-316-9959
Mailing Address - Street 1:4625 SUNDANCE CIR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30028-3416
Mailing Address - Country:US
Mailing Address - Phone:404-316-9959
Mailing Address - Fax:
Practice Address - Street 1:1572 HIGHWAY 85 N STE 302
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-7726
Practice Address - Country:US
Practice Address - Phone:678-722-5513
Practice Address - Fax:678-722-5581
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AFFINITY HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Single Specialty