Provider Demographics
NPI:1851839856
Name:INFINIACARE LLC
Entity Type:Organization
Organization Name:INFINIACARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:KASALIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-808-0992
Mailing Address - Street 1:5350 E 46TH ST
Mailing Address - Street 2:SUITE # 121
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-6612
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5350 E 46TH ST
Practice Address - Street 2:SUITE # 121
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-6612
Practice Address - Country:US
Practice Address - Phone:918-808-0992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKHC8057251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health