Healthcare Provider Details

I. General information

NPI: 1245391523
Provider Name (Legal Business Name): INFINITY HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 11/02/2021
Certification Date: 11/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28441 RANCHO CALIFORNIA RD STE 200
TEMECULA CA
92590-3618
US

IV. Provider business mailing address

28441 RANCHO CALIFORNIA RD STE 200
TEMECULA CA
92590-3618
US

V. Phone/Fax

Practice location:
  • Phone: 951-383-2999
  • Fax: 951-414-3445
Mailing address:
  • Phone: 951-383-2999
  • Fax: 951-414-3445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number980001513
License Number StateCA

VIII. Authorized Official

Name: MEGHAN E MARTIN
Title or Position: ADMINISTRATOR
Credential:
Phone: 951-383-2999