Healthcare Provider Details

I. General information

NPI: 1548921141
Provider Name (Legal Business Name): INFINITE CARE NURSING REGISTRY, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 10/19/2022
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 14TH ST N STE 19
NAPLES FL
34103-4576
US

IV. Provider business mailing address

2977 GOODLETTE-FRANK RD N STE 1
NAPLES FL
34103-4613
US

V. Phone/Fax

Practice location:
  • Phone: 239-331-3548
  • Fax:
Mailing address:
  • Phone: 239-331-3548
  • 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: MR. SONY PIERRE
Title or Position: ALTERNATE ADMINISTRATOR
Credential:
Phone: 305-988-3261