Healthcare Provider Details

I. General information

NPI: 1972621399
Provider Name (Legal Business Name): INFINITE CARE HOME HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 01/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3126 MILTON RD SUITE 217
CHARLOTTE NC
28215-3778
US

IV. Provider business mailing address

10888 ROCK COAST RD
COLUMBIA MD
21044-2734
US

V. Phone/Fax

Practice location:
  • Phone: 704-566-3737
  • Fax: 704-566-3736
Mailing address:
  • Phone: 202-374-5088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHC3620
License Number StateNC

VIII. Authorized Official

Name: MS. CHIQUANA L MCBRIDE
Title or Position: CEO EXECUTIVE DIRECTOR
Credential:
Phone: 202-374-5088