Provider Demographics
NPI:1275132821
Name:INFINITE FAVOR HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:INFINITE FAVOR HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:CHIKA
Authorized Official - Last Name:ONWUAGBA
Authorized Official - Suffix:
Authorized Official - Credentials:AO
Authorized Official - Phone:614-446-7029
Mailing Address - Street 1:4373 AUBURN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-9309
Mailing Address - Country:US
Mailing Address - Phone:614-446-7029
Mailing Address - Fax:
Practice Address - Street 1:4373 AUBURN HILLS DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-9309
Practice Address - Country:US
Practice Address - Phone:614-446-7029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC200808OtherNORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES