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General NPI Number Information
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NPI Number | 1184909996
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Entity Type | Organization
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Legal Business Name | INFINITY HOMECARE SERVICES, LLC
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 653 MAIN ST
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City | PLANTSVILLE
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State | CT
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Zip | 06479
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Country | US
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Telephone | 860-628-3662
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Fax | 860-276-8300
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Provider Business Mailing Address
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Address Line | 119 SANFORD ST FL 2
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City | HAMDEN
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State | CT
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Zip | 06514-1741
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Country | US
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Telephone | 186-062-8366
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Fax | 860-426-9202
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Authorized Official
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Title or Position | COO
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Name | MS. NICOLE LAVIN
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Credential | RN, MSN
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Telephone | 203-449-8161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HCA.0000438
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HCA.0000438
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | HCA.0000438
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License Number State | CT
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Taxonomy #4
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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 | CT
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