Organization Active NPI

Infiniti Home Care, LLC

  • In Home Supportive Care Agency
  • Greenville, NC
National Provider Identifier
1952696940
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INFINITI HOME CARE, LLC
Practice address
1805 W Arlington Blvd Ste D
Greenville, NC 27834-5700
Phone
(919) 825-1191
Fax
(919) 825-1191
NPI assigned
Jun 17, 2011
Last updated
Jul 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Mr. Frederick Otu
Title
Ceo
Phone
(919) 825-1191

Specialties & licenses 1

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

Addresses

Primary practice location

1805 W Arlington Blvd Ste D
Greenville, NC 27834-5700

Mailing address

3204 Morton LN
Greenville, NC 27834-4930
Phone (919) 825-1191

National Provider Directory

National Provider Directory

Locations

1805 W Arlington Blvd
Ste D
Greenville, NC 27834
Phone (919) 825-1191

300 W Arlington Blvd
Ste E
Greenville, NC 27834

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1952696940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 MORTON LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344930",
            "telephone_number": "919-825-1191",
            "fax_number": "919-825-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W ARLINGTON BLVD STE D",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345700",
            "telephone_number": "919-825-1191",
            "fax_number": "919-825-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITI HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "OTU",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-825-1191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.