=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740091305
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INFINITE LOVING HANDS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/14/2025
-----------------------------------------------------
Last Update Date | 01/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 455 EAST EISENHOWER PARKWAY SUITE #300 PMB#005
-----------------------------------------------------
City | ANN ARBOR
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48108
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-205-5882
-----------------------------------------------------
Fax | 317-740-1215
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3881 EAGLE CREEK PKWY STE C
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46254-5600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-205-5882
-----------------------------------------------------
Fax | 317-740-1215
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF OPERATIONS
-----------------------------------------------------
Name | MRS. NIKIA L ALEXANDER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 317-205-5882
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------