Healthcare Provider Details
I. General information
NPI: 1578378295
Provider Name (Legal Business Name): INFINITY HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/10/2025
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9 SULLIVAN ST
SPENCER MA
01562-2021
US
IV. Provider business mailing address
9 SULLIVAN ST
SPENCER MA
01562-2021
US
V. Phone/Fax
- Phone: 508-615-8599
- Fax:
- Phone: 508-615-8599
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
RUTH
WAITHIRA
MAINA
Title or Position: NURSE PRACTIONER/OWNER
Credential: NP
Phone: 508-615-8599