Provider Demographics
NPI:1104594449
Name:INFINITE HOSPICE INC
Entity type:Organization
Organization Name:INFINITE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THADDEUS
Authorized Official - Middle Name:
Authorized Official - Last Name:FROGOZO
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:623-476-9198
Mailing Address - Street 1:13231 N 35TH AVE # A10A
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-1233
Mailing Address - Country:US
Mailing Address - Phone:623-476-9198
Mailing Address - Fax:
Practice Address - Street 1:13231 N 35TH AVE # A10A
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-1233
Practice Address - Country:US
Practice Address - Phone:623-476-9198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based