NPIMap

Organization Active NPI

Infinite Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Austin, TX
National Provider Identifier
1619415213
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
3767-3768 Issued in TX
Legal business name
INFINITE RECOVERY LLC
Practice address
7517 Cameron Rd Ste #118
Austin, TX 78752
Phone
(512) 975-2658
NPI assigned
Feb 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Mark Peter Crandall, LCDC
Title
Counselor
Phone
(603) 781-4629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 3767-3768 TX Primary

Addresses

Primary practice location

7517 Cameron Rd Ste #118
Austin, TX 78752

Mailing address

7517 Cameron Rd Ste 118
Austin, TX 78752
Phone (512) 975-2658

National Provider Directory

National Provider Directory
Tax ID family
Infinite Recovery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1619415213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 CAMERON RD STE 118",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78752",
            "telephone_number": "512-975-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 CAMERON RD STE #118",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78752",
            "telephone_number": "512-975-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "603-781-4629",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "3767-3768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.