Provider Demographics
NPI:1396832952
Name:INFINITE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:INFINITE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TAIMOOR
Authorized Official - Middle Name:
Authorized Official - Last Name:BIDARI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PE
Authorized Official - Phone:805-497-1777
Mailing Address - Street 1:875 S WESTLAKE BLVD
Mailing Address - Street 2:SUITE # 205
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2902
Mailing Address - Country:US
Mailing Address - Phone:805-497-1777
Mailing Address - Fax:805-497-7771
Practice Address - Street 1:875 S WESTLAKE BLVD
Practice Address - Street 2:SUITE # 205
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2902
Practice Address - Country:US
Practice Address - Phone:805-497-1777
Practice Address - Fax:805-497-7771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA050000594251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08300FMedicaid
CAHHA08300FMedicaid