Organization Active NPI

Infinite Grown ABA LLC

  • Home Health Agency
  • Lehigh Acres, FL
National Provider Identifier
1215738976
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INFINITE GROWN ABA LLC
Practice address
3507 Lee Blvd Ste 270
Lehigh Acres, FL 33971-1322
Phone
(561) 643-7643
NPI assigned
Mar 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Maryabel MoralesNPI 1831629542
Title
Ceo
Phone
(561) 643-7643

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3507 Lee Blvd Ste 270
Lehigh Acres, FL 33971-1322

Mailing address

2500 NW 79TH Ave Ste 202
Miami, FL 33122-1084
Phone (561) 643-7643

Other identifiers 1

IdentifierTypeStateIssuer
126545100MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2325141Infinite Grown ABA LLC3507 Lee Blvd Ste 270, Lehigh Acres, FL 33971Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Infinite Grown ABA 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.

Locations

3507 Lee Blvd
Ste 270
Lehigh Acres, FL 33971
Phone (561) 643-7643

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1215738976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221084",
            "telephone_number": "561-643-7643",
            "fax_number": "754-714-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 LEE BLVD STE 270",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711322",
            "telephone_number": "561-643-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE GROWN ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "MARYABEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-643-7643"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126545100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.