Provider Demographics
NPI:1184048894
Name:INFUSION OF CARE INC, A CALIFORNIA CORPORATION
Entity type:Organization
Organization Name:INFUSION OF CARE INC, A CALIFORNIA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE OPERATIONS OFFICER (COO)
Authorized Official - Prefix:
Authorized Official - First Name:ILEENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CRANE FRANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-989-1970
Mailing Address - Street 1:16897 ALGONQUIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-3832
Mailing Address - Country:US
Mailing Address - Phone:844-989-1970
Mailing Address - Fax:831-337-5777
Practice Address - Street 1:16897 ALGONQUIN ST STE B
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-3832
Practice Address - Country:US
Practice Address - Phone:844-989-1970
Practice Address - Fax:831-337-5777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-17
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3295133OtherCALIFORNIA CORPORATION NUMBER