Provider Demographics
NPI:1629462874
Name:INFINITY HOME CARE LLC
Entity Type:Organization
Organization Name:INFINITY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/ OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-443-7103
Mailing Address - Street 1:12328 INLETRIDGE DR APT B
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-2070
Mailing Address - Country:US
Mailing Address - Phone:314-443-7103
Mailing Address - Fax:
Practice Address - Street 1:12328 INLETRIDGE DR APT B
Practice Address - Street 2:
Practice Address - City:MARYLAND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63043-2070
Practice Address - Country:US
Practice Address - Phone:314-443-7103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002018677163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty