Provider Demographics
NPI: | 1912319195 |
---|---|
Name: | INFINITE HEALTHCARE SERVICES, LLC |
Entity Type: | Organization |
Organization Name: | INFINITE HEALTHCARE SERVICES, LLC |
Other - Org Name: | INFINITE HEALTHCARE |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | MANAGEMENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LASHONDA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MILLER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 913-223-6484 |
Mailing Address - Street 1: | 734 ARMSTRONG AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | KANSAS CITY |
Mailing Address - State: | KS |
Mailing Address - Zip Code: | 66101-2702 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 734 ARMSTRONG AVE |
Practice Address - Street 2: | |
Practice Address - City: | KANSAS CITY |
Practice Address - State: | KS |
Practice Address - Zip Code: | 66101-2702 |
Practice Address - Country: | US |
Practice Address - Phone: | 913-223-6484 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-05-22 |
Last Update Date: | 2014-05-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health | |
No | 253Z00000X | Agencies | In Home Supportive Care | |
No | 347C00000X | Transportation Services | Private Vehicle |