Provider Demographics
NPI:1588038988
Name:INFINITE HEART HOMECARE LLC
Entity Type:Organization
Organization Name:INFINITE HEART HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:QUENTON
Authorized Official - Middle Name:D
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:330-328-0744
Mailing Address - Street 1:330 BEECHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-2302
Mailing Address - Country:US
Mailing Address - Phone:330-328-0744
Mailing Address - Fax:
Practice Address - Street 1:330 BEECHWOOD DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-2302
Practice Address - Country:US
Practice Address - Phone:330-328-0744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health