Provider Demographics
NPI:1265047989
Name:INFINITY HOME CARE SERVICES, LLC
Entity type:Organization
Organization Name:INFINITY HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIASA
Authorized Official - Middle Name:YOLISE
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-706-1098
Mailing Address - Street 1:806 OLD LUMBERTON RD
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-3975
Mailing Address - Country:US
Mailing Address - Phone:910-747-0706
Mailing Address - Fax:
Practice Address - Street 1:806 OLD LUMBERTON RD
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-3975
Practice Address - Country:US
Practice Address - Phone:910-747-0706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health