MEDICARE: INFINITY HOME CARE, LLC

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

General Provider Information

NPI Number	:	1679348395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITY HOME CARE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 13080
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50310-0080
Country	:	US
Telephone Number	:	515-414-8787
Fax Number	:	515-414-8096

Provider Business Practice Location Address
First Line	:	7524 HICKMAN RD
Second Line	:
City	:	WINDSOR HEIGHTS
State	:	IA
Zip	:	50324-4621
Country	:	US
Telephone Number	:	515-414-8787
Fax Number	:	515-414-8096

Authorized Official
Title or Position	:	CFO/OWNER
Name	:	MRS. RACHEL ANNE REAVIS
Credential	:	CSA
Telephone Number	:	515-414-8787

Provider Enumeration Date	:	11/22/2023
Last Update Date	:	11/22/2023

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