Provider Demographics
NPI:1508488016
Name:INFINITY HOME CARE LLC
Entity Type:Organization
Organization Name:INFINITY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MILES
Authorized Official - Middle Name:PAPA
Authorized Official - Last Name:TORREDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-709-6979
Mailing Address - Street 1:7823 GRAVES AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-3518
Mailing Address - Country:US
Mailing Address - Phone:323-709-6979
Mailing Address - Fax:
Practice Address - Street 1:7823 GRAVES AVE
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-3518
Practice Address - Country:US
Practice Address - Phone:323-709-6979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-07
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty