Provider Demographics
NPI:1003197401
Name:INFINITY HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:INFINITY HOME HEALTH CARE LLC
Other - Org Name:INFINITY HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:SLAUGHTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:740-778-3000
Mailing Address - Street 1:PO BOX 422
Mailing Address - Street 2:
Mailing Address - City:SOUTH WEBSTER
Mailing Address - State:OH
Mailing Address - Zip Code:45682-0422
Mailing Address - Country:US
Mailing Address - Phone:740-778-3000
Mailing Address - Fax:740-778-3999
Practice Address - Street 1:404 N. JACKSON STREET
Practice Address - Street 2:
Practice Address - City:SOUTH WEBSTER
Practice Address - State:OH
Practice Address - Zip Code:45682-9058
Practice Address - Country:US
Practice Address - Phone:740-778-3000
Practice Address - Fax:740-778-3999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-30
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH368458Medicare Oscar/Certification