- Enrollment id
- O20180102000658
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1629436969
- Multiple npi flag
- N
- Ccn
- 559017
- Associate id
- 8123386810
- Organization name
- INFINITE HOMEHEALTH AND PALLIATIVE CARE INC
- Doing business as name
- INFINITE HOMEHEALTH AND PALLIATIVE CARE, INC.
- Incorporation date
- 2015-10-05
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 16200 VENTURA BLVD
- Address line 2
- STE 209
- City
- ENCINO
- State
- CA
- Zip code
- 914364641