Organization Active NPI

Infiniti Home Care, Inc.

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1023611027
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INFINITI HOME CARE, INC.
Practice address
4135 Holman LN
Saint Louis, MO 63134-3925
Phone
(314) 479-6121
NPI assigned
Nov 20, 2020
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Charisee BradleyNPI 1114486743
Title
Vice President/Founder
Phone
(314) 479-6121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4135 Holman LN
Saint Louis, MO 63134-3925

Mailing address

4135 Holman LN
Saint Louis, MO 63134-3925

National Provider Directory

National Provider Directory
Tax ID family
Infiniti Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1023611027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 HOLMAN LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631343925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 HOLMAN LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631343925",
            "telephone_number": "314-479-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITI HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "CHARISEE",
        "authorized_official_title_or_position": "VICE PRESIDENT/FOUNDER",
        "authorized_official_telephone_number": "314-479-6121"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.