Active NPI
Infinitylife Home Care Inc
Doing business as Infinity Life Center
- Substance Abuse Rehabilitation Facility
- Newark, NJ
National Provider Identifier
1093395725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- INFINITYLIFE HOME CARE INC
- Doing business as
- Infinity Life Center
Infinity Life Treatment Center - Practice address
- 18 Green St
Newark, NJ 07102-3602 - Phone
- (973) 888-9445
- Fax
- (212) 898-1393
- NPI assigned
- Apr 8, 2021
- 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
- Mr. David M Manasher Esq
- Title
- President
- Phone
- (347) 383-7704
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Meals Provider | 174200000X | |||
| Nursing Care Agency | 251J00000X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary | ||
| Private Vehicle | 347C00000X | |||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
18 Green St
Newark, NJ 07102-3602
Mailing address
201 North 12TH Street 2ND Floor
Newark, NJ 07107
Phone (347) 383-7704
Other practice location 1
144 Washington St
Newark, NJ 07102-3022
Phone (973) 888-9445
Other names 2
- Infinity Life Center
- Infinity Life Treatment Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | willbeestablished | Direct |
National Provider Directory
National Provider DirectoryLocations
18 Green St
Newark, NJ 07102
Phone (973) 888-9445
201 N 12th St
Fl 2
Newark, NJ 07107
144 Washington St
Newark, NJ 07102
Phone (973) 888-9445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617840000000",
"number": "1093395725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 NORTH 12TH STREET 2ND FLOOR",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07107",
"telephone_number": "347-383-7704",
"fax_number": "212-898-1393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 GREEN ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071023602",
"telephone_number": "973-888-9445",
"fax_number": "212-898-1393"
}
],
"practiceLocations": [
{
"address_1": "144 Washington St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071023022",
"country_code": "US",
"telephone_number": "973-888-9445",
"fax_number": "212-898-1393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INFINITYLIFE HOME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-08",
"last_updated": "2021-04-08",
"certification_date": "2021-03-17",
"status": "A",
"authorized_official_last_name": "MANASHER ESQ",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-383-7704",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "willbeestablished",
"affiliation": "N",
"endpointDescription": "willbeestablished",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "144 Washington St",
"city": "Newark",
"state": "NJ",
"country_code": "US",
"postal_code": "071023022",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Infinity Life Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Infinity Life Treatment Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.