Provider Demographics
NPI:1457679235
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:PO BOX 1576
Mailing Address - Street 2:
Mailing Address - City:ROSEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28382-1576
Mailing Address - Country:US
Mailing Address - Phone:910-337-3630
Mailing Address - Fax:
Practice Address - Street 1:513 RALEIGH ROAD
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?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-04
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHC4084OtherNC DHSR