Provider Demographics
NPI:1790002749
Name:WEST INFINITY CARE INC
Entity Type:Organization
Organization Name:WEST INFINITY CARE INC
Other - Org Name:VITAL CARE WEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:C
Authorized Official - Last Name:HAYWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-265-3630
Mailing Address - Street 1:6306 BRIAR GLADE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2006
Mailing Address - Country:US
Mailing Address - Phone:832-265-3630
Mailing Address - Fax:
Practice Address - Street 1:6306 BRIAR GLADE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2006
Practice Address - Country:US
Practice Address - Phone:832-265-3630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty