Healthcare Provider Details
I. General information
NPI: 1225101777
Provider Name (Legal Business Name): INFINITY CARE PROVIDERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/15/2006
Last Update Date: 01/13/2021
Certification Date: 01/04/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3505 BOCA CHICA BLVD STE 148
BROWNSVILLE TX
78521-4064
US
IV. Provider business mailing address
3505 BOCA CHICA BLVD STE 148
BROWNSVILLE TX
78521-4064
US
V. Phone/Fax
- Phone: 956-542-7232
- Fax: 956-542-5993
- Phone: 956-542-7232
- Fax: 956-542-5993
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANNETTE
PEREZ
Title or Position: ASST. ADMINISTRATOR
Credential:
Phone: 956-542-7232