Organization Active NPI

Infinity Home Care Providers, Inc,

  • Home Health Agency
  • El Monte, CA
National Provider Identifier
1801896105
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
058246 Issued in CA
Legal business name
INFINITY HOME CARE PROVIDERS, INC,
Practice address
9300 Flair Dr
Suite 388
El Monte, CA 91731-2802
Phone
(626) 227-0220
Fax
(626) 227-0226
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Delia L. Castro, R.N.
Title
Administrator
Phone
(626) 227-0220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 058246 CA Primary

Addresses

Primary practice location

9300 Flair Dr
Suite 388
El Monte, CA 91731-2802

Mailing address

9300 Flair Dr
Suite 388
El Monte, CA 91731-2802
Phone (626) 227-0220

Other identifiers 1

IdentifierTypeStateIssuer
HHA08246FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030422000034 CA Part A Provider - Home Health Agency 3375452170 Practice locations: El Monte, CA

Home health agency certification: CCN 058246

Legal name
INFINITY HOME CARE PROVIDERS, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 27, 2004
Last certification
Mar 21, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 26, 2002 in CA
Enrollment address
9350 Flair Dr
Ste 268
El Monte, CA 91731-2854

Care Compare: Home health agency

Medicare Care Compare
Listed as
Infinity Home Care Providers, IncCCN 058246
Ownership
Proprietary
Certified
Feb 27, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

9300 Flair Dr
Ste 388
El Monte, CA 91731
Phone (626) 227-0220

9350 Flair Dr
Ste 268
El Monte, CA 91731
Phone (626) 227-0220

9300 Flair Dr
#388
El Monte, CA 91731
Phone (626) 227-0220

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Delia Lucas Castro Individual 5% Or Greater Direct Ownership Interest Apr 13, 2020 50%
Corporate OfficerPresident Apr 13, 2020
Corporate DirectorBoard Member/President Apr 13, 2020 50%
W-2 Managing EmployeeAdministrator Jun 8, 2015
Juan Antonio Alarcon Individual Corporate DirectorMedical Director Jan 2, 2022
Odette Castro Individual 5% Or Greater Direct Ownership Interest Apr 13, 2020 50%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1801896105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 FLAIR DR",
            "address_2": "SUITE 388",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312802",
            "telephone_number": "626-227-0220",
            "fax_number": "626-227-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 FLAIR DR",
            "address_2": "SUITE 388",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312802",
            "telephone_number": "626-227-0220",
            "fax_number": "626-227-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY HOME CARE PROVIDERS, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "DELIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-227-0220",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "058246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08246F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.