Healthcare Provider Details

I. General information

NPI: 1124365929
Provider Name (Legal Business Name): INFINITY HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2013
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 RALEIGH RD SUITE D
CLINTON NC
28328-2405
US

IV. Provider business mailing address

118 E ELIZABETH ST
CLINTON NC
28328-4018
US

V. Phone/Fax

Practice location:
  • Phone: 910-592-0006
  • Fax:
Mailing address:
  • Phone: 910-337-2018
  • Fax: 910-592-0056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC4084
License Number StateNC

VIII. Authorized Official

Name: MR. EDDIE PARKER
Title or Position: CEO
Credential:
Phone: 910-337-3630