Provider Demographics
NPI:1093395725
Name:INFINITYLIFE HOME CARE INC
Entity Type:Organization
Organization Name:INFINITYLIFE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:MANASHER ESQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-383-7704
Mailing Address - Street 1:201 NORTH 12TH STREET 2ND FLOOR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07107
Mailing Address - Country:US
Mailing Address - Phone:347-383-7704
Mailing Address - Fax:212-898-1393
Practice Address - Street 1:18 GREEN ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-3602
Practice Address - Country:US
Practice Address - Phone:973-888-9445
Practice Address - Fax:212-898-1393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No174200000XOther Service ProvidersMealsGroup - Single Specialty
No251J00000XAgenciesNursing Care
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No347C00000XTransportation ServicesPrivate VehicleGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty