Infiniti Home Health Care Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

04G504 Issued in CO

Legal business name

INFINITI HOME HEALTH CARE AGENCY, LLC

Practice address

1450 S Havana St Ste 200B
Aurora, CO 80012-4021

Phone

(720) 628-4593

Fax

(303) 219-3133

NPI assigned

Oct 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Malik Olasunkanmi Kuforiji, RN

Title

Administrator

Phone

(720) 628-4593

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Home health agency certification: CCN 067507

Legal name

INFINITI HOME HEALTH CARE AGENCY, LLC

Doing business as

INFINITI HOME HEALTH CARE AGENCY

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 15, 2013

Last certification

Mar 12, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jun 2, 2010 in CO

Enrollment address

1450 S Havana St
Ste 200B
Aurora, CO 80012-4021

Listed as

Infiniti Home Health Care AgencyCCN 067507 · All quality measures

Ownership

Proprietary

Certified

Feb 15, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Infiniti Home Health Care Agency LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Infiniti Home Health Care Agency

  • Home Health Agency
  • Aurora, CO
  • NPI 1316691801
  NPD tax ID
• Infiniti Home Health Care Agency, LLC

  • Case Management Agency
  • Aurora, CO
  • NPI 1417587791
  NPD tax ID

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1316257363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST STE 200B",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124021",
            "telephone_number": "720-628-4593",
            "fax_number": "303-219-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST STE 200B",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124021",
            "telephone_number": "720-628-4593",
            "fax_number": "303-219-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITI HOME HEALTH CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "KUFORIJI",
        "authorized_official_first_name": "MALIK",
        "authorized_official_middle_name": "OLASUNKANMI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "720-628-4593",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04G504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Individual Dynamics
• Indygo Transport LLC
• Roberto Paul Infante Rosado, MD
• Infinite Compassion
• Infiniti Home Health Care Agency
• Infiniti Home Health Care Agency, LLC
• Infinity Wellness Center P.C.
• Richard John Ing, MD
• Christina Marie Ingell, MA CCC-SLP
• Helene M Inglethron

• Home Health Agency in Aurora, CO
• Providers in Aurora, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.