Healthcare Provider Details

I. General information

NPI: 1962368472
Provider Name (Legal Business Name): INFINITE CREATIONS FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4623 HATZ ST
SAINT LOUIS MO
63121-3018
US

IV. Provider business mailing address

4623 HATZ ST
SAINT LOUIS MO
63121-3018
US

V. Phone/Fax

Practice location:
  • Phone: 314-285-4490
  • Fax:
Mailing address:
  • Phone: 314-285-4490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER BRYANT
Title or Position: PRESIDENT
Credential:
Phone: 314-285-4490