Healthcare Provider Details

I. General information

NPI: 1801896105
Provider Name (Legal Business Name): INFINITY HOME CARE PROVIDERS, INC,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 FLAIR DR SUITE 388
EL MONTE CA
91731-2802
US

IV. Provider business mailing address

9300 FLAIR DR SUITE 388
EL MONTE CA
91731-2802
US

V. Phone/Fax

Practice location:
  • Phone: 626-227-0220
  • Fax: 626-227-0226
Mailing address:
  • Phone: 626-227-0220
  • Fax: 626-227-0226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number058246
License Number StateCA

VIII. Authorized Official

Name: DELIA L. CASTRO
Title or Position: ADMINISTRATOR
Credential: R.N.
Phone: 626-227-0220