Provider Demographics
NPI:1093179459
Name:INFINITY HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:INFINITY HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:WOODLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-556-5643
Mailing Address - Street 1:38 COUNTY ROAD 4216
Mailing Address - Street 2:
Mailing Address - City:SIMMS
Mailing Address - State:TX
Mailing Address - Zip Code:75574-4631
Mailing Address - Country:US
Mailing Address - Phone:903-559-3631
Mailing Address - Fax:
Practice Address - Street 1:38 COUNTY ROAD 4216
Practice Address - Street 2:
Practice Address - City:SIMMS
Practice Address - State:TX
Practice Address - Zip Code:75574-4631
Practice Address - Country:US
Practice Address - Phone:903-556-5643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-11
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty