NPIMap

Organization Active NPI

Infinity Groups Homes LLC

Doing business as Infinity Groups Homes 3

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1073011680
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH5326 Issued in AZ
Legal business name
INFINITY GROUPS HOMES LLC
Doing business as
Infinity Groups Homes 3
Practice address
2146 E Everett Dr
Phoenix, AZ 85022-4153
Phone
(480) 907-4474
NPI assigned
Jan 29, 2018
Last updated
May 31, 2024By the provider in NPPES
Organization subpart
No

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 AbdelrahmanNPI 1952700288
Title
Ao
Phone
(480) 907-4474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH5326 AZ Primary

Addresses

Primary practice location

2146 E Everett Dr
Phoenix, AZ 85022-4153

Mailing address

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

Other names 1

  • INFINITY GROUPS HOMES 3 Doing business as

National Provider Directory

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

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1073011680",
    "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": "2146 E EVERETT DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224153",
            "telephone_number": "480-907-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY GROUPS HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "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": "AO",
        "authorized_official_telephone_number": "480-907-4474"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH5326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INFINITY GROUPS HOMES 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.