Provider Demographics
NPI:1720337314
Name:INFINITE CARE
Entity Type:Organization
Organization Name:INFINITE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MALANA
Authorized Official - Middle Name:KELLIE
Authorized Official - Last Name:RIDEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-351-8449
Mailing Address - Street 1:5850 CALDER AVE
Mailing Address - Street 2:24
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5850 CALDER AVE
Practice Address - Street 2:24
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706
Practice Address - Country:US
Practice Address - Phone:409-351-8449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health