Infinite Arches LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

INFINITE ARCHES LLC

Practice address

620 24TH St Ste C
Ogden, UT 84401-4322

Phone

(801) 928-7770

NPI assigned

Mar 20, 2019

Last updated

Dec 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Tracy Kelso

Title

President

Phone

(615) 663-5483

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

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.

• Hannah Raquel Cross, LCSW

  • Clinical Social Worker
  • Layton, UT
  • NPI 1457703761
  NPD
• Jessica Fecteau

  • Adult Medicine Physician
  • Hyde Park, UT
  • NPI 1740921436
  NPD (past)

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1467912139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844020041",
            "telephone_number": "801-928-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 24TH ST STE C",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844014322",
            "telephone_number": "801-928-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE ARCHES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "KELSO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-663-5483",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damian Illing, MD
• Ebifade Imarayi
• In Solidarity Counseling LLC (Two Brothas Counseling Ogden Branch)
• In-Home Care Assistance, LLC
• Infinia at Ogden
• Leslye Lyn Ingersoll, M.D.
• Dustin Michael Ingraham, PHARMD
• Jaclyn Ann Inman, RN
• Inspire Therapy Services
• Integrity Home Health of Ogden, LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Ogden, UT
• Providers in Ogden, UT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.