Healthcare Provider Details

I. General information

NPI: 1841388790
Provider Name (Legal Business Name): INFINITY HOME HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 10/07/2022
Certification Date: 10/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 ALGONQUIN RD STE 410
ROLLING MEADOWS IL
60008-3250
US

IV. Provider business mailing address

3315 ALGONQUIN RD STE 410
ROLLING MEADOWS IL
60008-3250
US

V. Phone/Fax

Practice location:
  • Phone: 847-983-0979
  • Fax: 847-983-4704
Mailing address:
  • Phone: 847-983-0979
  • Fax: 847-983-4704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1010377
License Number StateIL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. BENJAMIN MANANSALA CABRERA
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 310-220-1499