Organization Active NPI

Infinity Homecare Services, LLC

  • Home Health Agency
  • Plantsville, CT
National Provider Identifier
1184909996
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 7, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008049602MedicaidCT
9915723OtherCTCT LICENSE HHA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Aug 7, 2009 in CT
Enrollment address
119 Sanford St
Hamden, CT 06514-1741
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Infinity Homecare Services, LLCCCN 077259
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Nov 11, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Andrei Brel Individual 5% Or Greater Indirect Ownership Interest Jan 4, 2022 100%
Corporate OfficerCeo/Executive Director Jan 4, 2022 100%
Corporate DirectorCeo/Executive Director Jan 4, 2022 100%
Operational/Managerial ControlCeo/Executive Director Jan 4, 2022 100%
Hpah, LLC Organization, West Hartford, CT Created for acquisition, LLC, For-profit 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.

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

Verify at the official NPI Registry.