MEDICARE: INFINITY HOME HEALTH 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	:	1700471737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITY HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	1453 MORTON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63133-2241
Country	:	US
Telephone Number	:	314-322-6158
Fax Number	:

Provider Business Practice Location Address
First Line	:	1453 MORTON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63133-2241
Country	:	US
Telephone Number	:	314-322-6158
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	LAWONDA RENEE RIGMAIDEN
Credential	:
Telephone Number	:	314-322-6158

Provider Enumeration Date	:	03/02/2021
Last Update Date	:	03/02/2021

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Directions to “INFINITY HOME HEALTH LLC ” Practice Location

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