Provider Demographics
NPI:1568167344
Name:INFINITY PLUS HOME CARE LLC
Entity Type:Organization
Organization Name:INFINITY PLUS HOME CARE LLC
Other - Org Name:N/A
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:NEWTON
Authorized Official - Last Name:MWANZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-300-1190
Mailing Address - Street 1:314 RUNAWAY BAY CIR APT 1B
Mailing Address - Street 2:
Mailing Address - City:MISHAWAKA
Mailing Address - State:IN
Mailing Address - Zip Code:46545-8056
Mailing Address - Country:US
Mailing Address - Phone:574-300-1190
Mailing Address - Fax:
Practice Address - Street 1:314 RUNAWAY BAY CIR APT 1B
Practice Address - Street 2:
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-8056
Practice Address - Country:US
Practice Address - Phone:574-300-1190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care