Provider Demographics
NPI:1538692884
Name:INFINITY HEALTH AND WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:INFINITY HEALTH AND WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAINEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTD
Authorized Official - Phone:919-241-4687
Mailing Address - Street 1:PO BOX 816
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-0816
Mailing Address - Country:US
Mailing Address - Phone:919-241-4687
Mailing Address - Fax:919-640-1137
Practice Address - Street 1:500 MILLSTONE DR STE 101
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-9056
Practice Address - Country:US
Practice Address - Phone:919-241-4687
Practice Address - Fax:919-640-1137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5624261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)