Provider Demographics
NPI:1871685826
Name:INFINITE CARE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:INFINITE CARE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISSET
Authorized Official - Middle Name:
Authorized Official - Last Name:DARNALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-938-8500
Mailing Address - Street 1:107 S 4TH ST BLDG A
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-3172
Mailing Address - Country:US
Mailing Address - Phone:972-938-8500
Mailing Address - Fax:972-408-0891
Practice Address - Street 1:107 S 4TH ST BLDG A
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-3172
Practice Address - Country:US
Practice Address - Phone:972-938-8500
Practice Address - Fax:972-408-0891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX008319251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX008319OtherSTATE LIC. #
TX018254OtherSTATE LIC.#
TX679431Medicare UPIN