Organization
INFINITY HOMECARE OF BROWARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
600 W HILLSBORO, SUITE 210, DEERFIELD, FL 33441-1610
(954) 714-0556
(954) 714-0553
Mailing address
3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA 70816-4013
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
108342
—
251E00000X
Home Health Agency
Primary
299992331
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-8342
MEDICARE
FL
01
—
299992331
STATE LICENSE #
FL
Enumeration date
01/23/2008
Last updated
04/02/2018
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