Organization Active NPI

Infinity Homecare of Broward

  • Home Health Agency
  • Deerfield, FL
National Provider Identifier
1750568648
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992331 Issued in FL
Legal business name
INFINITY HOMECARE OF BROWARD
Practice address
600 W Hillsboro
Suite 210
Deerfield, FL 33441-1610
Phone
(954) 714-0556
Fax
(954) 714-0553
NPI assigned
Jan 23, 2008
Last updated
Apr 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Authorized official

Name
Paul Kusserow
Title
President
Phone
(225) 292-2031

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299992331 FL Primary
Home Health Agency 251E00000X 108342

Addresses

Primary practice location

600 W Hillsboro
Suite 210
Deerfield, FL 33441-1610

Mailing address

3854 American Way
Suite a
Baton Rouge, LA 70816-4013
Phone (225) 292-2031

Other identifiers 2

IdentifierTypeStateIssuer
10-8342OtherFLMEDICARE
299992331OtherFLSTATE LICENSE #

National Provider Directory

National Provider Directory

Locations

4700 N State Road 7
Ste 201
Lauderdale Lakes, FL 33319
Phone (954) 714-0556

4577 N Nob Hill Rd
Ste 208
Sunrise, FL 33351
Phone (954) 714-0556

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1750568648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164013",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W HILLSBORO",
            "address_2": "SUITE 210",
            "city": "DEERFIELD",
            "state": "FL",
            "postal_code": "334411610",
            "telephone_number": "954-714-0556",
            "fax_number": "954-714-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY HOMECARE OF BROWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "KUSSEROW",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-292-2031"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992331",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": "108342",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "10-8342",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "299992331",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.