AFFINITY CLINICAL SERVICES, PLLC
NPI 1790219871
Supports Brokerage in Charlotte, NC

Active since April 17, 2017
5500 EXECUTIVE CENTER DRIVE, SUITE 118, CHARLOTTE, NC 28212(980) 224-8060(704) 379-1914 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2023, Sep 6, 2019, Apr 17, 2017 (3 updates tracked since 2017).

About Affinity Clinical Services, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AFFINITY CLINICAL SERVICES, PLLC (NPI 1790219871) is a healthcare organization registered as a supports brokerage in Charlotte, North Carolina and active in the NPI registry since April 2017. The organization maintains a secondary practice location in Charlotte and lists Samuel Ndupu, Clinical Director, Owner, as its authorized official.

NPPES Registry Identity

NPI1790219871
Entity TypeOrganization
Primary Taxonomy251X00000X
Legal Business NameAFFINITY CLINICAL SERVICES, PLLC
Location Address5500 EXECUTIVE CENTER DRIVE, SUITE 118Charlotte, NC 28212
Mailing Address5500 Executive Center Drive, Suite 118Charlotte, NC 28212 · (980) 224-8060 · Fax (704) 379-1914
Fax(704) 379-1914
Organization SubpartNo
Authorized OfficialSamuel NdupuClinical Director, Owner · (980) 224-8060
Enumeration DateApril 17, 2017
Last NPPES UpdateJune 19, 20233 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
NPI 1790219871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySupports BrokerageAgencies
Taxonomy Code251X00000X
Definition
A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 4936 (NC)
5500 EXECUTIVE CENTER DRIVE, Charlotte, NC 28212

Secondary Practice Location 1

Location 15124 Monroe RdCharlotte, NC 28205-7826 · Phone (704) 379-1960 · Fax (704) 379-1914

Other Identifiers 1

Medicaid6103653NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
5500 EXECUTIVE CENTER DRIVE, STE 202
CHARLOTTE, NC 28212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Affinity Clinical Services, PLLC's NPI number?

The NPI number for Affinity Clinical Services, PLLC is 1790219871. It was assigned to this organization in the NPPES registry on April 17, 2017.

Where is Affinity Clinical Services, PLLC located?

Affinity Clinical Services, PLLC is located at 5500 Executive Center Drive Suite 118, Charlotte, NC 28212. The listed phone number is (980) 224-8060.

What is Affinity Clinical Services, PLLC's specialty?

The primary specialty registered for this NPI is Supports Brokerage with taxonomy code 251X00000X.

When was this NPI record last updated?

The NPPES record for Affinity Clinical Services, PLLC was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.