Organization Active NPI

Infinity LLC

  • Community/Behavioral Health Agency
  • Scarborough, ME
National Provider Identifier
1093535882
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INFINITY LLC
Practice address
605 US Route 1 Ste 9
Scarborough, ME 04074-9617
Phone
(207) 347-9614
Fax
(508) 546-8128
NPI assigned
Oct 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Patrick Kambu Mbenza, MHRTC DSP
Title
Ceo
Phone
(207) 347-9614

Specialties & licenses 1

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

Addresses

Primary practice location

605 US Route 1 Ste 9
Scarborough, ME 04074-9617

Mailing address

605 US Route 1 Ste 9
Scarborough, ME 04074-9617
Phone (207) 347-9614

National Provider Directory

National Provider Directory
Tax ID family
Infinity LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1093535882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 US ROUTE 1 STE 9",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749617",
            "telephone_number": "207-347-9614",
            "fax_number": "508-546-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 US ROUTE 1 STE 9",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749617",
            "telephone_number": "207-347-9614",
            "fax_number": "508-546-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "KAMBU MBENZA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-347-9614",
        "authorized_official_credential": "MHRTC DSP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.