Provider Demographics
NPI:1639702343
Name:INFINITE PERSONAL CARE LLC
Entity Type:Organization
Organization Name:INFINITE PERSONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:
Authorized Official - First Name:NAWAL
Authorized Official - Middle Name:
Authorized Official - Last Name:AINTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-490-6999
Mailing Address - Street 1:1750 LAKEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2817
Mailing Address - Country:US
Mailing Address - Phone:703-490-6999
Mailing Address - Fax:
Practice Address - Street 1:1750 LAKEWOOD DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2817
Practice Address - Country:US
Practice Address - Phone:703-888-7182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-20
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health