Provider Demographics
NPI:1699389593
Name:INFINITY CARE SERVICES LLC
Entity type:Organization
Organization Name:INFINITY CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-232-7726
Mailing Address - Street 1:9203 W BLUEMOUND RD STE A
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4484
Mailing Address - Country:US
Mailing Address - Phone:414-763-0239
Mailing Address - Fax:414-763-1276
Practice Address - Street 1:9203 W BLUEMOUND RD STE A
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4484
Practice Address - Country:US
Practice Address - Phone:414-763-0239
Practice Address - Fax:414-763-1276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health