MEDICARE: INFINITE HEALTH COLLABORATIVE, PA

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1922726207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITE HEALTH COLLABORATIVE, PA

Provider Business Mailing Address
First Line	:	3500 AMERICAN BLVD W STE 300
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55431-4442
Country	:	US
Telephone Number	:	952-512-5600
Fax Number	:	952-512-5651

Provider Business Practice Location Address
First Line	:	470 WATER ST
Second Line	:
City	:	EXCELSIOR
State	:	MN
Zip	:	55331-3089
Country	:	US
Telephone Number	:	952-442-6950
Fax Number	:	952-955-6276

Authorized Official
Title or Position	:	VP OF REVENUE CYCLE
Name	:	BRANDON B JANIKE
Credential	:
Telephone Number	:	952-512-5637

Provider Enumeration Date	:	08/22/2022
Last Update Date	:	12/03/2025

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