Organization Active NPI

Infnity in Home Support Services Inc.

  • In Home Supportive Care Agency
  • Woodbridge, VA
National Provider Identifier
1417704107
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INFNITY IN HOME SUPPORT SERVICES INC.
Practice address
14142 Minnieville Rd Ste 212
Woodbridge, VA 22193-2344
Phone
(571) 220-5544
NPI assigned
May 1, 2024
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Deonte Cooke
Title
Ceo
Phone
(571) 220-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

14142 Minnieville Rd Ste 212
Woodbridge, VA 22193-2344

Mailing address

14142 Minnieville Rd Ste 212
Woodbridge, VA 22193-2344
Phone (571) 220-5544

National Provider Directory

National Provider Directory

Locations

14142 Minnieville Rd
Ste 212
Woodbridge, VA 22193
Phone (571) 220-5544

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1417704107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14142 MINNIEVILLE RD STE 212",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932344",
            "telephone_number": "571-220-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14142 MINNIEVILLE RD STE 212",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221932344",
            "telephone_number": "571-220-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFNITY IN HOME SUPPORT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "DEONTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-220-5544"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.