Healthcare Provider Details

I. General information

NPI: 1427725829
Provider Name (Legal Business Name): INFINITO HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 08/24/2021
Certification Date: 08/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6999 MCPHERSON RD STE 109
LAREDO TX
78041-6450
US

IV. Provider business mailing address

6999 MCPHERSON RD STE 109
LAREDO TX
78041-6450
US

V. Phone/Fax

Practice location:
  • Phone: 956-602-0371
  • Fax: 956-602-0372
Mailing address:
  • Phone: 956-602-0371
  • Fax: 956-602-0372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MR. LEWIS WAGNER
Title or Position: OWNER
Credential:
Phone: 956-602-0371