Organization Active NPI

Infinity One Corporation, Inc.

Doing business as Infinity One Healthcare

  • Case Management Agency
  • West Columbia, SC
National Provider Identifier
1275852220
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
58383 Issued in SC
Legal business name
INFINITY ONE CORPORATION, INC.
Doing business as
Infinity One Healthcare
Practice address
3935 Sunset Blvd
Suite G
West Columbia, SC 29169
Phone
(803) 796-9612
Fax
(803) 796-9615
NPI assigned
May 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Preston Anderson, RN
Title
Ceo
Phone
(803) 796-9612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 58383 SC Primary

Addresses

Primary practice location

3935 Sunset Blvd
Suite G
West Columbia, SC 29169

Mailing address

PO Box 362
Columbia, SC 29202-0362
Phone (803) 796-9612

Other names 1

  • Infinity One Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

3935 Sunset Blvd
Ste G
West Columbia, SC 29169
Phone (803) 796-9612

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1275852220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292020362",
            "telephone_number": "803-796-9612",
            "fax_number": "803-796-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 SUNSET BLVD",
            "address_2": "SUITE G",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-796-9612",
            "fax_number": "803-796-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY ONE CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-796-9612",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "SC",
            "license": "58383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinity One Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.