Infinity Residential Serivces LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

INFINITY RESIDENTIAL SERIVCES LLC

Practice address

2409 Barclay Ave
Portsmouth, VA 23702-1717

Phone

(757) 606-5143

Fax

(757) 606-5143

NPI assigned

Aug 7, 2025

Last updated

Aug 7, 2025By 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

Tyteanna Perry-Faulks

Title

Executive Owner

Phone

(757) 606-5143

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1811872971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 BARCLAY AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237021717",
            "telephone_number": "757-606-5143",
            "fax_number": "757-606-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 BARCLAY AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237021717",
            "telephone_number": "757-606-5143",
            "fax_number": "757-606-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY RESIDENTIAL SERIVCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "PERRY-FAULKS",
        "authorized_official_first_name": "TYTEANNA",
        "authorized_official_title_or_position": "EXECUTIVE OWNER",
        "authorized_official_telephone_number": "757-606-5143"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.