Organization Active NPI

Infinity Group Home LLC

  • Community/Behavioral Health Agency
  • Birmingham, AL
National Provider Identifier
1295390995
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INFINITY GROUP HOME LLC
Practice address
1412 Cahaba River Parc
Birmingham, AL 35243-3269
Phone
(205) 568-4126
Fax
(205) 434-4441
NPI assigned
May 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Authorized official

Name
Mrs. Reketa Denise Smith
Title
Executive Director / Ceo
Phone
(205) 568-4126

Specialties & licenses 1

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

Addresses

Primary practice location

1412 Cahaba River Parc
Birmingham, AL 35243-3269

Mailing address

117 Paradise Lake Rd
Hoover, AL 35244-5028
Phone (205) 568-4126

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1295390995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 PARADISE LAKE RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352445028",
            "telephone_number": "205-568-4126",
            "fax_number": "205-434-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 CAHABA RIVER PARC",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433269",
            "telephone_number": "205-568-4126",
            "fax_number": "205-434-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "REKETA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR / CEO",
        "authorized_official_telephone_number": "205-568-4126",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.