Provider Demographics
NPI:1679234801
Name:INFINITY SENIOR CARE
Entity Type:Organization
Organization Name:INFINITY SENIOR CARE
Other - Org Name:INFINITY SENIOR CARE HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAULTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-740-9076
Mailing Address - Street 1:3961 STAFFORD RUN CT
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9480
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6520 AIRPORT CENTER DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27409-9029
Practice Address - Country:US
Practice Address - Phone:336-740-9076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care