MEDICARE: INFINITE ANGELS WITH CARE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	104100000X	Social Worker
2	251J00000X	Nursing Care Agency
3	253Z00000X	In Home Supportive Care Agency
4	372600000X	Adult Companion
5	374U00000X	Home Health Aide
6	376J00000X	Homemaker
7	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1811567670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITE ANGELS WITH CARE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 618683
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32861-8683
Country	:	US
Telephone Number	:	407-860-9034
Fax Number	:

Provider Business Practice Location Address
First Line	:	4402 ROCK SPRINGS RD
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-5777
Country	:	US
Telephone Number	:	407-860-9034
Fax Number	:

Authorized Official
Title or Position	:	MGRM
Name	:	NORA E IHUNWO
Credential	:
Telephone Number	:	407-860-9034

Provider Enumeration Date	:	06/24/2021
Last Update Date	:	06/24/2021

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