Provider Demographics
NPI:1578512802
Name:INFINITY HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:INFINITY HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LESTER
Authorized Official - Middle Name:DWIGHT
Authorized Official - Last Name:ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-966-9369
Mailing Address - Street 1:5301 DEMPSTER ST
Mailing Address - Street 2:#206
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1846
Mailing Address - Country:US
Mailing Address - Phone:847-966-9369
Mailing Address - Fax:847-966-9370
Practice Address - Street 1:5301 DEMPSTER ST
Practice Address - Street 2:#206
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1846
Practice Address - Country:US
Practice Address - Phone:847-966-9369
Practice Address - Fax:847-966-9370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010889251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147880Medicare Oscar/Certification