Provider Demographics
NPI:1972096956
Name:INFINITE CARE SERVICES LLC
Entity type:Organization
Organization Name:INFINITE CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:BASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:404-736-3140
Mailing Address - Street 1:157 BURKE ST
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-3433
Mailing Address - Country:US
Mailing Address - Phone:602-367-3193
Mailing Address - Fax:404-736-3140
Practice Address - Street 1:157 BURKE ST
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-3433
Practice Address - Country:US
Practice Address - Phone:602-367-3193
Practice Address - Fax:404-736-3140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care