Provider Demographics
NPI:1245391523
Name:INFINITY HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:INFINITY HEALTH SERVICES, INC.
Other - Org Name:MADISON HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-383-2999
Mailing Address - Street 1:28441 RANCHO CALIFORNIA RD STE 200
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-3618
Mailing Address - Country:US
Mailing Address - Phone:951-383-2999
Mailing Address - Fax:951-414-3445
Practice Address - Street 1:28441 RANCHO CALIFORNIA RD STE 200
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-3618
Practice Address - Country:US
Practice Address - Phone:951-383-2999
Practice Address - Fax:951-414-3445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001513251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08284FMedicaid
CAHHA08284FMedicaid