Provider Demographics
NPI:1265255822
Name:INFINITE POSSIBILITIES CARE CONNECTIONS, INC.
Entity type:Organization
Organization Name:INFINITE POSSIBILITIES CARE CONNECTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:WASILAT
Authorized Official - Middle Name:
Authorized Official - Last Name:BANIRE-DAIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-828-0102
Mailing Address - Street 1:6037 WORKERS DR
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21225-3696
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6037 WORKERS DR
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MD
Practice Address - Zip Code:21225-3696
Practice Address - Country:US
Practice Address - Phone:301-828-0102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty