Provider Demographics
NPI:1962684654
Name:INFUSION PLUS HOME CARE, INC.
Entity Type:Organization
Organization Name:INFUSION PLUS HOME CARE, INC.
Other - Org Name:HOMECARE PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:CHRISTIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-570-7587
Mailing Address - Street 1:501 ANDREWS HWY
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-5818
Mailing Address - Country:US
Mailing Address - Phone:432-570-7587
Mailing Address - Fax:432-682-9593
Practice Address - Street 1:501 ANDREWS HWY
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-5818
Practice Address - Country:US
Practice Address - Phone:432-570-7587
Practice Address - Fax:432-682-9593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002702251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677296Medicare Oscar/Certification