Provider Demographics
NPI:1548441645
Name:INFINITE HOME HEALTH , INC.
Entity type:Organization
Organization Name:INFINITE HOME HEALTH , INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TAIMOOR
Authorized Official - Middle Name:
Authorized Official - Last Name:BIDARI
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:818-888-7772
Mailing Address - Street 1:19326 VENTURA BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-3032
Mailing Address - Country:US
Mailing Address - Phone:818-609-0999
Mailing Address - Fax:818-609-0303
Practice Address - Street 1:22151 VENTURA BLVD STE 201
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-5737
Practice Address - Country:US
Practice Address - Phone:818-888-7772
Practice Address - Fax:818-888-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000241251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08368FMedicaid
CA058368Medicare Oscar/Certification