Provider Demographics
NPI:1679358154
Name:INFINITE CARE LLC
Entity Type:Organization
Organization Name:INFINITE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RAPHAEL
Authorized Official - Middle Name:EBUBECHUKWU
Authorized Official - Last Name:ONYEKACHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-461-7149
Mailing Address - Street 1:4113 EUBANK BLVD NE STE 200E
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3482
Mailing Address - Country:US
Mailing Address - Phone:505-910-8496
Mailing Address - Fax:
Practice Address - Street 1:4113 EUBANK BLVD NE STE 200E
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3482
Practice Address - Country:US
Practice Address - Phone:505-910-8496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health