Infinite Way Behavior

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20171265805 Issued in NV

Legal business name

INFINITE WAY BEHAVIOR

Practice address

1113 Via Monticano
Henderson, NV 89052-1502

Phone

(904) 699-0032

NPI assigned

Oct 30, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Maria WarnerNPI 1639508260

Title

Manager

Phone

(904) 699-0032

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Kim Warner

  • Pastoral Counselor
  • Henderson, NV
  • NPI 1639508260
  NPD (past) Authorized official

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1609388602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 VIA MONTICANO",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890521502",
            "telephone_number": "904-699-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 VIA MONTICANO",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890521502",
            "telephone_number": "904-699-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE WAY BEHAVIOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-699-0032",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20171265805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639508260",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Independence Lifestyles Inc
• Indigo Home Health Services Inc
• Maria De la Caridad Infante Fernandez
• Infectious Disease Providers of Nevada LTD
• Infectious Diseases of Southern Nevada a Professional LLC
• Infused Therapies, LLC
• Infusion Therapy of Nevada LLC
• Infusion Therapy of the United States, Inc.
• John W Inga, DDS
• Daniel Joseph Inglish, DO

• Community/Behavioral Health Agency in Henderson, NV
• Providers in Henderson, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.