MEDICARE: INFINITI HOME CARE, INC DBA CONTINENTAL HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1316L001	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609236801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITI HOME CARE, INC DBA CONTINENTAL HOME CARE

Provider Business Mailing Address
First Line	:	11655 QUEENS BLVD STE 224
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-6527
Country	:	US
Telephone Number	:	718-451-6969
Fax Number	:	718-544-4499

Provider Business Practice Location Address
First Line	:	11655 QUEENS BLVD STE 224
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-6527
Country	:	US
Telephone Number	:	718-451-6969
Fax Number	:	718-544-4499

Authorized Official
Title or Position	:	CFO
Name	:	OLEG PINKHASOV
Credential	:
Telephone Number	:	718-451-6969

Provider Enumeration Date	:	03/01/2016
Last Update Date	:	03/01/2016

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