Provider Demographics
NPI:1124365929
Name:INFINITY HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:INFINITY HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-337-3630
Mailing Address - Street 1:118 E ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-4018
Mailing Address - Country:US
Mailing Address - Phone:910-337-2018
Mailing Address - Fax:910-592-0056
Practice Address - Street 1:513 RALEIGH RD
Practice Address - Street 2:SUITE D
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-2405
Practice Address - Country:US
Practice Address - Phone:910-592-0006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INFINITY HEALTHCARE SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-14
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4084251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3419040Medicaid