Provider Demographics
NPI:1841388790
Name:INFINITY HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:INFINITY HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:MANANSALA
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-220-1499
Mailing Address - Street 1:3315 ALGONQUIN RD STE 410
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-3250
Mailing Address - Country:US
Mailing Address - Phone:847-983-0979
Mailing Address - Fax:847-983-4704
Practice Address - Street 1:3315 ALGONQUIN RD STE 410
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-3250
Practice Address - Country:US
Practice Address - Phone:847-983-0979
Practice Address - Fax:847-983-4704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010377251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147834Medicare ID - Type UnspecifiedPROVIDER NUMBER