Provider Demographics
NPI:1407397953
Name:INFINITY HOSPICE, LLC
Entity Type:Organization
Organization Name:INFINITY HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-798-4158
Mailing Address - Street 1:32602 WESTON CT
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-4125
Mailing Address - Country:US
Mailing Address - Phone:281-798-4158
Mailing Address - Fax:888-496-0265
Practice Address - Street 1:32602 WESTON CT
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-4125
Practice Address - Country:US
Practice Address - Phone:281-798-4158
Practice Address - Fax:888-496-0265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based