Provider Demographics
NPI:1730997230
Name:AFFINITY CARE OF HILLSBOROUGH LLC
Entity type:Organization
Organization Name:AFFINITY CARE OF HILLSBOROUGH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
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 1:4510 OAK FAIR BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-7346
Mailing Address - Country:US
Mailing Address - Phone:813-535-7711
Mailing Address - Fax:813-433-5102
Practice Address - Street 1:4510 OAK FAIR BLVD STE 130
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-7346
Practice Address - Country:US
Practice Address - Phone:813-535-7711
Practice Address - Fax:813-433-5102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based