Organization Active NPI

Infinity Hope Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1790293488
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INFINITY HOPE CENTER LLC
Practice address
260 Vinewood St Ste 100A8919
Detroit, MI 48216-1667
Phone
(313) 315-5145
Fax
(313) 315-5150
NPI assigned
Jan 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Markita Thompson, DNPNPI 1730556291
Title
Authorized Official
Phone
(313) 613-9392

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X MI Primary

Addresses

Primary practice location

260 Vinewood St Ste 100A8919
Detroit, MI 48216-1667

Mailing address

1759 Wabash St
Detroit, MI 48216-1843
Phone (313) 613-9392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180223001628 MI Part B Supplier - Clinic/Group Practice 2466713920 Receives reassigned benefits from 1 practitioner
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Locations

277 Gratiot Ave
Ste 100A8919
Detroit, MI 48226
Phone (313) 315-5145

277 Gratiot Ave
Detroit, MI 48226

260 Vinewood St
Ste A8919
Detroit, MI 48216
Phone (313) 315-5145

260 Vinewood St
Ste 100A8919
Detroit, MI 48216
Phone (313) 315-5145

Practitioners & affiliated clinicians

Practitioners 1

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": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1790293488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 WABASH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482161843",
            "telephone_number": "313-613-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 VINEWOOD ST STE 100A8919",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482161667",
            "telephone_number": "313-315-5145",
            "fax_number": "313-315-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY HOPE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MARKITA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "313-613-9392",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.