Provider Demographics
NPI:1821335506
Name:INFINITY CARE MANAGEMENT OF VIRGINIA, INC.
Entity Type:Organization
Organization Name:INFINITY CARE MANAGEMENT OF VIRGINIA, INC.
Other - Org Name:OF WEST VIRGINIA, OF TEXAS, OF CALIFORNIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RECINOS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MS, ALCM
Authorized Official - Phone:855-488-8111
Mailing Address - Street 1:21430 TIMBERLAKE RD
Mailing Address - Street 2:#325
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-7248
Mailing Address - Country:US
Mailing Address - Phone:855-488-8111
Mailing Address - Fax:855-477-7111
Practice Address - Street 1:21430 TIMBERLAKE RD
Practice Address - Street 2:#325
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-7248
Practice Address - Country:US
Practice Address - Phone:855-488-8111
Practice Address - Fax:855-477-7111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251B00000X, 251J00000X, 253Z00000X
CA251B00000X, 251J00000X, 253Z00000X
TX251B00000X, 251J00000X, 253Z00000X
WV251B00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care