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NPI Code Detail

MEDICARE: INFINITE CARE HOME HEALTH SERVICES, INC

MEDICARE: INFINITE CARE HOME HEALTH SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideHC3620NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588792386
Entity Type Code : Organization
Provider Name (Legal Business Name) : INFINITE CARE HOME HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : 10888 ROCK COAST RD
Second Line : 102
City : COLUMBIA
State : MD
Zip : 21044-2734
Country : US
Telephone Number : 704-566-3737
Fax Number :
Provider Business Practice Location Address
First Line : 3126 MILTON RD
Second Line : SUITE 217
City : CHARLOTTE
State : NC
Zip : 28215-3778
Country : US
Telephone Number : 202-374-5088
Fax Number : 202-374-5088
Authorized Official
Title or Position : CEO EXECUTIVE DIRECTOR
Name : CHIQUANA L MCBRIDE
Credential :
Telephone Number : 202-374-5088
Provider Enumeration Date : 03/01/2007
Last Update Date : 01/21/2010

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Directions to “INFINITE CARE HOME HEALTH SERVICES, INC ” Practice Location

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