NPI Code Details Logo

NPI 1770151904

NPI 1770151904 : INFINITY HOSPICE CARE INC : COVINA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1770151904
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    INFINITY HOSPICE CARE INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/14/2021
-----------------------------------------------------
    Last Update Date     |    06/14/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    128 N CITRUS AVE STE F 
-----------------------------------------------------
    City                 |    COVINA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91723-2039
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    626-217-0578
-----------------------------------------------------
    Fax                  |    626-270-5512
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    128 N CITRUS AVE STE F 
-----------------------------------------------------
    City                 |    COVINA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91723-2039
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    626-217-0578
-----------------------------------------------------
    Fax                  |    626-270-5512
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DPCS
-----------------------------------------------------
    Name                 |    MISS CARITA ANNE JAMES 
-----------------------------------------------------
    Credential           |    RN
-----------------------------------------------------
    Telephone            |    626-217-0578
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251G00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Based Hospice Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.