- Enrollment id
- O20031103000692
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1548441645
- Multiple npi flag
- N
- Ccn
- 058368
- Associate id
- 2668384165
- Organization name
- INFINITE HOME HEALTH, INC.
- Incorporation date
- 2005-09-15
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 22151 VENTURA BLVD
- Address line 2
- STE 201
- City
- WOODLAND HILLS
- State
- CA
- Zip code
- 913645737
- Practice location type
- HHA BRANCH