Provider Demographics
NPI:1992126932
Name:INFINITY HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:INFINITY HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AWUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-982-3052
Mailing Address - Street 1:8611 LUGANO RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-4413
Mailing Address - Country:US
Mailing Address - Phone:443-982-3052
Mailing Address - Fax:410-680-6598
Practice Address - Street 1:8611 LUGANO ROAD
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133
Practice Address - Country:US
Practice Address - Phone:443-982-3052
Practice Address - Fax:410-680-6598
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INFINITY HEALTH CARE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3496251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health