Healthcare Provider Details

I. General information

NPI: 1285096461
Provider Name (Legal Business Name): INFINITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2016
Last Update Date: 03/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5066 HIDDEN PARK CT B106
SIMI VALLEY CA
93063-7611
US

IV. Provider business mailing address

5066 HIDDEN PARK CT B106
SIMI VALLEY CA
93063-7611
US

V. Phone/Fax

Practice location:
  • Phone: 805-490-7193
  • Fax:
Mailing address:
  • Phone: 805-490-7193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LIBBY ANN ADAMS
Title or Position: OWNER
Credential:
Phone: 805-490-7193