Healthcare Provider Details

I. General information

NPI: 1205750445
Provider Name (Legal Business Name): INFINITI QUALITY CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15302 BOXWOOD GARDEN RD
MIDLOTHIAN VA
23114-4780
US

IV. Provider business mailing address

PO BOX 4044
GLEN ALLEN VA
23058-4044
US

V. Phone/Fax

Practice location:
  • Phone: 804-270-8057
  • Fax: 804-270-8057
Mailing address:
  • Phone: 804-270-8057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: PAM F BRUNSON
Title or Position: CEO
Credential: CEO
Phone: 804-270-8057