Healthcare Provider Details

I. General information

NPI: 1104057991
Provider Name (Legal Business Name): INFINITY CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2009
Last Update Date: 11/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 N CENTER ST STE 2A
STOCKTON CA
95202-1020
US

IV. Provider business mailing address

1325 N CENTER ST STE 2A
STOCKTON CA
95202-1020
US

V. Phone/Fax

Practice location:
  • Phone: 800-294-1461
  • Fax: 800-295-3161
Mailing address:
  • Phone: 800-294-1461
  • Fax: 800-295-3161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: GRACE DARMAWAH ROWE
Title or Position: ADMINISTRATOR
Credential:
Phone: 800-294-1461