Active NPI
Infinite Care Support Services, LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Gorham, ME
National Provider Identifier
1033933486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- INFINITE CARE SUPPORT SERVICES, LLC
- Practice address
- 36 Briarwood LN
Gorham, ME 04038-1208 - Phone
- (207) 651-2097
- NPI assigned
- Nov 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Remezo
- Title
- Owner
- Phone
- (207) 615-2097
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
36 Briarwood LN
Gorham, ME 04038-1208
Mailing address
PO Box 906
Scarborough, ME 04070-0906
Phone (207) 332-9935
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731369600000",
"number": "1033933486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 906",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040700906",
"telephone_number": "207-332-9935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 BRIARWOOD LN",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381208",
"telephone_number": "207-651-2097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFINITE CARE SUPPORT SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-12",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A",
"authorized_official_last_name": "REMEZO",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-615-2097"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gorham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.