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General NPI Number Information
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NPI Number | 1154099000
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Entity Type | Organization
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Legal Business Name | INFINITE OPTIONS CARE MANAGEMENT, LLC
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Dates
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Enumeration Date | 09/03/2021
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 20270 MIDDLEBELT RD, SUITE 3
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City | LIVONIA
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State | MI
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Zip | 48152
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Country | US
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Telephone | 734-956-0482
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Fax |
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Provider Business Mailing Address
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Address Line | 47448 PONTIAC TRL STE 151
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City | WIXOM
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State | MI
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Zip | 48393-2558
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Country | US
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Telephone | 734-956-0482
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Fax |
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Authorized Official
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Title or Position | VP
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Name | TRISTA KALOUS
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Credential |
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Telephone | 734-564-4073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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