Active NPI
Infinity Homecare Services, LLC
- Home Health Agency
- Plantsville, CT
National Provider Identifier
1184909996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- INFINITY HOMECARE SERVICES, LLC
- Practice address
- 653 Main St
Plantsville, CT 06479 - Phone
- (860) 628-3662
- Fax
- (860) 276-8300
- NPI assigned
- Oct 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nicole Lavin, RN, MSN
- Title
- Coo
- Phone
- (203) 449-8161
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | CT | Primary | |
| Nursing Care Agency | 251J00000X | HCA.0000438 | CT | |
| In Home Supportive Care Agency | 253Z00000X | HCA.0000438 | CT | |
| Private Vehicle | 347C00000X | HCA.0000438 | CT |
Addresses
Primary practice location
653 Main St
Plantsville, CT 06479
Mailing address
119 Sanford St FL 2
Hamden, CT 06514-1741
Phone (186) 062-8366
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008049602 | Medicaid | CT | |
| 9915723 | Other | CT | CT LICENSE HHA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130416000091 | CT | Part A Provider - Home Health Agency | 5890931976 | Practice locations: Hamden, CT |
Home health agency certification: CCN 077259
- Legal name
- INFINITY HOMECARE SERVICES LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 11, 2013
- Last certification
- Sep 20, 2016
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Aug 7, 2009 in CT
- Enrollment address
- 119 Sanford St
Hamden, CT 06514-1741
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Infinity Homecare Services, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 11, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
119 Sanford St
Hamden, CT 06514
Phone (203) 288-4505
119 Sanford St
Ste 2
Hamden, CT 06514
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Andrei Brel | 5% Or Greater Indirect Ownership Interest | Jan 4, 2022 | 100% |
| Corporate Officer | Jan 4, 2022 | 100% | |
| Corporate Director | Jan 4, 2022 | 100% | |
| Operational/Managerial Control | Jan 4, 2022 | 100% | |
| Hpah, LLC | 5% Or Greater Direct Ownership Interest | Jan 4, 2022 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Surgery Physician
- Branford, CT
- NPI 1881088177
Home health agency
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Branford, CT
- NPI 1952307456
Home health agency
-
- Orthopaedic Surgery Physician
- Branford, CT
- NPI 1447247606
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657152000000",
"number": "1184909996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 SANFORD ST FL 2",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065141741",
"telephone_number": "186-062-8366",
"fax_number": "860-426-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 MAIN ST",
"city": "PLANTSVILLE",
"state": "CT",
"postal_code": "06479",
"telephone_number": "860-628-3662",
"fax_number": "860-276-8300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFINITY HOMECARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-13",
"last_updated": "2022-07-07",
"certification_date": "2022-06-21",
"status": "A",
"authorized_official_last_name": "LAVIN",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "203-449-8161",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN, MSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CT",
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "CT",
"license": "HCA.0000438",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "CT",
"license": "HCA.0000438",
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "CT",
"license": "HCA.0000438",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008049602",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT LICENSE HHA",
"identifier": "9915723",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantsville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.