Infinity Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INFINITY HOME HEALTH LLC

Practice address

303 N Tyler Rd
Wichita, KS 67212-3601

Phone

(316) 214-3063

NPI assigned

Apr 4, 2018

Last updated

Apr 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rosebell GitungoNPI 1619868130

Title

Owner

Phone

(316) 214-3063

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407352867. Details of each certification follow.

• CCN 178124 Home health agency · Active · Details

Home health agency certification: CCN 178124

Legal name

INFINITY HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 9, 2019

Last certification

Sep 9, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 5, 2017 in KS

Enrollment address

7230 W 13TH St N
Ste 4
Wichita, KS 67212-2982

Listed as

Infinity Home Health, LLCCCN 178124 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Sep 9, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Patrick Gitungo

  • Gerontology Nurse Practitioner
  • Wichita, KS
  • NPI 1811888332

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 2

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.

• Rosebell Gitungo

  • Gerontology Nurse Practitioner
  • Wichita, KS
  • NPI 1619868130
  NPD Authorized official
• Patrick Gitungo

  • Gerontology Nurse Practitioner
  • Wichita, KS
  • NPI 1811888332
  NPD

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Amanda A Ewertz, ARNP

  • Gerontology Nurse Practitioner
  • Wichita, KS
  • NPI 1235666900

  Home health agency

  Care Compare affiliation
• Kristian Jacobson, APRN

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1669248712

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1407352867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123601",
            "telephone_number": "316-214-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "GITUNGO",
        "authorized_official_first_name": "ROSEBELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-214-3063"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.