Provider Demographics
NPI:1952816944
Name:INFINITY HOME CARE LLC
Entity Type:Organization
Organization Name:INFINITY HOME CARE LLC
Other - Org Name:INFINITY HOME CARE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NADINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PRATHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN-BSN
Authorized Official - Phone:317-825-3115
Mailing Address - Street 1:220 E FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-1458
Mailing Address - Country:US
Mailing Address - Phone:317-825-3115
Mailing Address - Fax:317-825-3115
Practice Address - Street 1:220 E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-1458
Practice Address - Country:US
Practice Address - Phone:317-825-3115
Practice Address - Fax:317-825-3115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17-014226-1253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care