Infinite Life Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INFINITE LIFE CARE SERVICES LLC

Practice address

1210 Southridge Dr
Lancaster, TX 75146-1304

Phone

(682) 298-9986

NPI assigned

May 23, 2022

Last updated

May 23, 2022By 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

Shondolyn Blair, PHLEBOTOMIST

Title

Owner

Phone

(682) 298-9986

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1639817398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 SOUTHRIDGE DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461304",
            "telephone_number": "682-298-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 SOUTHRIDGE DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461304",
            "telephone_number": "682-298-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE LIFE CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "SHONDOLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-298-9986",
        "authorized_official_credential": "PHLEBOTOMIST"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 May 23, 2022; 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.