Provider Demographics
NPI:1053434647
Name:INFINITY HOSPICE SERVICES, LLC.
Entity type:Organization
Organization Name:INFINITY HOSPICE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:C
Authorized Official - Last Name:DELMENDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-631-8043
Mailing Address - Street 1:12626 RIVERSIDE DR
Mailing Address - Street 2:SUITE #506
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-3420
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12626 RIVERSIDE DR
Practice Address - Street 2:SUITE #506
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-3420
Practice Address - Country:US
Practice Address - Phone:818-631-8043
Practice Address - Fax:818-508-5159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health