NPIMap

Organization Active NPI

Infinity Groups Homes LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1063985992
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INFINITY GROUPS HOMES LLC
Practice address
1495 W Mohawk LN
Phoenix, AZ 85027-3618
Phone
(480) 907-4474
NPI assigned
Jan 3, 2019
Organization subpart
Yes
Parent organization
INFINITY GROUPS HOMES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mozamil Gabir Abdelrahman
Title
Authorize Official
Phone
(480) 907-4474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1495 W Mohawk LN
Phoenix, AZ 85027-3618

Mailing address

15111 N 33Rd PL
Phoenix, AZ 85032-4552
Phone (480) 907-4474

Other names 1

  • Infinity Groups Homes 4 Other name

National Provider Directory

National Provider Directory
Tax ID family
Infinity Groups Homes LLC5 organizations share this tax ID, including this one
Part of
Infinity Groups Homes LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1063985992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15111 N 33RD PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324552",
            "telephone_number": "480-907-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 W MOHAWK LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273618",
            "telephone_number": "480-907-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY GROUPS HOMES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INFINITY GROUPS HOMES LLC",
        "enumeration_date": "2019-01-03",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "ABDELRAHMAN",
        "authorized_official_first_name": "MOZAMIL",
        "authorized_official_middle_name": "GABIR",
        "authorized_official_title_or_position": "AUTHORIZE OFFICIAL",
        "authorized_official_telephone_number": "480-907-4474"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinity Groups Homes 4",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Infinity Groups Homes 4",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.