NPIMap

Organization Active NPI

Infinity Health Care Services

  • Home Health Agency
  • Ambrose, GA
National Provider Identifier
1164063640
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INFINITY HEALTH CARE SERVICES
Practice address
1095 Gus Paulk Rd
Ambrose, GA 31512-3408
Phone
(912) 327-4967
Fax
(912) 393-3235
NPI assigned
Oct 4, 2019
Last updated
Oct 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Mrs. Tabitha PaulkNPI 1508407354
Title
Owner
Phone
(912) 327-4967

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 Primary

Addresses

Primary practice location

1095 Gus Paulk Rd
Ambrose, GA 31512-3408

Mailing address

1095 Gus Paulk Rd
Ambrose, GA 31512-3408
Phone (912) 327-4967

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL computer Health Information Exchange (HIE)
CONNECT URL computer Health Information Exchange (HIE)

National Provider Directory

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": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1164063640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 GUS PAULK RD",
            "city": "AMBROSE",
            "state": "GA",
            "postal_code": "315123408",
            "telephone_number": "912-327-4967",
            "fax_number": "912-393-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 GUS PAULK RD",
            "city": "AMBROSE",
            "state": "GA",
            "postal_code": "315123408",
            "telephone_number": "912-327-4967",
            "fax_number": "912-393-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "PAULK",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-327-4967",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "endpointDescription": "Computer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1095 Gus Paulk Rd",
            "city": "Ambrose",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315123408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "endpointDescription": "computer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "computer",
            "address_1": "1095 Gus Paulk Rd",
            "city": "Ambrose",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315123408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ambrose, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.