Healthcare Provider Details

I. General information

NPI: 1801708235
Provider Name (Legal Business Name): INFINITY OUTREACH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18919 HICKORY ST
DETROIT MI
48205-2203
US

IV. Provider business mailing address

18918 ALCOY ST NONE
DETROIT MI
48205-2202
US

V. Phone/Fax

Practice location:
  • Phone: 313-522-9229
  • Fax:
Mailing address:
  • Phone: 313-522-9229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANGELA Y BOWMAN-MATTHEWS
Title or Position: OWNER
Credential:
Phone: 313-522-9229