Provider Demographics
NPI:1154724573
Name:INFINITY HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:INFINITY HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ANGEL ANTHONY
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-799-4486
Mailing Address - Street 1:610 YORK RD STE 400
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-2866
Mailing Address - Country:US
Mailing Address - Phone:267-799-4486
Mailing Address - Fax:267-799-4512
Practice Address - Street 1:610 YORK RD STE 400
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-2866
Practice Address - Country:US
Practice Address - Phone:267-799-4486
Practice Address - Fax:267-799-4512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-30
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No253Z00000XAgenciesIn Home Supportive Care
No251S00000XAgenciesCommunity/Behavioral Health
No251J00000XAgenciesNursing Care
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251G00000XAgenciesHospice Care, Community Based
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT253J00000XOtherMONTANA
MT253Z00000XOtherIN HOME SUPPORTIVE CARE
PA34543601OtherPA LICENSE IN-HOME CARE (NON- MEDICAL)
NJHP0275200OtherNJ LICENSE HOME HOME CARE LICENCE NUMBER
MT171WH0202XOtherMONTANA
PA6090501OtherPA LICENSE HOME HEALTH (SKILLED )
MT251E00000XOtherHOME HEALTH
MT251E00000XOtherMONTANA
MT251J00000XOtherNURSING CARE
PA13780995OtherCAQH PROVIDER ID
MT251S00000XOtherCOMMUNITY/BEHAVIORAL HEALTH/HCBS WAIVER
PA103084867-0001OtherPROMISE ID (PPID)#
MT171WH0202XOtherCONTRACTOR; HOME MODIFICATIONS
PA251E00000XOtherPENNSYLVANIA
MT251J00000XOtherMONTANA
MT253J00000XOtherFOSTER CARE AGENCY
MT310400000XOtherASSISTED LIVING FACILITY
NJ0890979OtherNJ MEDICAID ID NUMBER
MT251S00000XOtherMONTANA