| Affinity Care Providers, Inc. | |
|
837 N. Pine Street Ste. C Gramercy LA 70052 | |
| (225) 869-6005 | |
| (225) 869-6007 |
| Full Name | Affinity Care Providers, Inc. |
|---|---|
| Speciality | Technician - Personal Care Attendant |
| Location | 837 N. Pine Street Ste. C, Gramercy, Louisiana |
| Authorized Official Name and Position | Starlette Sabrina Gordon (ADM.) |
| Authorized Official Contact | 2258696005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Care Providers, Inc. P O Box 580 Gramercy LA 70052 Ph: (225) 869-6005 | Affinity Care Providers, Inc. 837 N. Pine Street Ste. C Gramercy LA 70052 Ph: (225) 869-6005 |
| NPI Number | 1881878809 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 11/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881878809 | NPI | - | NPPES |
| 1458066 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1458066 (Louisiana) | Secondary |
| 3747P1801X | Technician - Personal Care Attendant | (* (Not Available)) | Primary |
Affinity Care Providers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 837 N. Pine Street Ste. C, Gramercy, LA 70052 Phone: 225-869-6005 Fax: 225-869-6007 | |
Saint James Community Fresh Start Program Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 N Ezidore St, Gramercy, LA 70052 Phone: 225-623-9751 Fax: 225-258-4109 | |
Affinity Care Providers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 837 N. Pine Street Ste.c, Gramercy, LA 70052 Phone: 225-869-6005 Fax: 225-869-6007 | |
St James Community Fresh Start Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 N Ezidore St, Gramercy, LA 70052 Phone: 225-258-4029 Fax: 225-258-4109 |