Provider Demographics
NPI:1720361462
Name:INFINITY PERSONAL CARE, INC
Entity Type:Organization
Organization Name:INFINITY PERSONAL CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-667-0083
Mailing Address - Street 1:30163 WALKER NORTH RD
Mailing Address - Street 2:STE F
Mailing Address - City:WALKER
Mailing Address - State:LA
Mailing Address - Zip Code:70785-7302
Mailing Address - Country:US
Mailing Address - Phone:225-667-0083
Mailing Address - Fax:225-667-0093
Practice Address - Street 1:30163 WALKER NORTH RD
Practice Address - Street 2:SUITE F
Practice Address - City:WALKER
Practice Address - State:LA
Practice Address - Zip Code:70785-7302
Practice Address - Country:US
Practice Address - Phone:225-667-0083
Practice Address - Fax:225-667-0093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPCA15532253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care