Organization Active NPI

Infinity Healthcare Services Inc

  • Home Health Agency
  • Clinton, NC
National Provider Identifier
1124365929
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4084 Issued in NC
Legal business name
INFINITY HEALTHCARE SERVICES INC
Practice address
513 Raleigh Rd
Suite D
Clinton, NC 28328-2405
Phone
(910) 592-0006
NPI assigned
Jan 14, 2013
Organization subpart
Yes
Parent organization
INFINITY HEALTHCARE SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Mr. Eddie Parker
Title
Ceo
Phone
(910) 337-3630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC4084 NC Primary

Addresses

Primary practice location

513 Raleigh Rd
Suite D
Clinton, NC 28328-2405

Mailing address

118 E Elizabeth St
Clinton, NC 28328-4018
Phone (910) 337-2018

Other identifiers 1

IdentifierTypeStateIssuer
3419040MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Infinity Healthcare Services Inc2 organizations share this tax ID, including this one
Part of
Infinity Healthcare Services Inc

Other organizations with this tax ID 1

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

Locations

118 E Elizabeth St
Clinton, NC 28328
Phone (910) 337-2018

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1124365929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E ELIZABETH ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283284018",
            "telephone_number": "910-337-2018",
            "fax_number": "910-592-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 RALEIGH RD",
            "address_2": "SUITE D",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282405",
            "telephone_number": "910-592-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY HEALTHCARE SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INFINITY HEALTHCARE SERVICES INC",
        "enumeration_date": "2013-01-14",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-337-3630",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3419040",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.