Provider Demographics
NPI:1528597184
Name:INFINITY CARE ALF INC
Entity Type:Organization
Organization Name:INFINITY CARE ALF INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LEIDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-445-9655
Mailing Address - Street 1:6411 WILSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-3433
Mailing Address - Country:US
Mailing Address - Phone:813-445-9655
Mailing Address - Fax:813-605-3375
Practice Address - Street 1:6411 WILSHIRE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-3433
Practice Address - Country:US
Practice Address - Phone:813-445-9655
Practice Address - Fax:813-605-3375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility