NPIMap

Organization Active NPI

Infinity Solutions Treatment Center Inc.

  • Recovery Care Clinic/Center
  • Lake Clarke Shores, FL
National Provider Identifier
1962868265
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
INFINITY SOLUTIONS TREATMENT CENTER INC.
Practice address
1499 Forest Hill Blvd Ste 111
Lake Clarke Shores, FL 33406-6050
Phone
(561) 797-8167
NPI assigned
Jan 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Keli Kornmiller
Title
Senior Credentialing Specialist
Phone
(561) 672-8345

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary
Substance Abuse Rehabilitation Facility 324500000X 1550AD682301 FL

Addresses

Primary practice location

1499 Forest Hill Blvd Ste 111
Lake Clarke Shores, FL 33406-6050

Mailing address

1499 Forest Hill Blvd Ste 111
Lake Clarke Shores, FL 33406-6050
Phone (561) 797-8167

National Provider Directory

National Provider Directory
Tax ID family
Infinity Solutions Treatment Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1962868265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 FOREST HILL BLVD STE 111",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334066050",
            "telephone_number": "561-797-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 FOREST HILL BLVD STE 111",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334066050",
            "telephone_number": "561-797-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY SOLUTIONS TREATMENT CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "KORNMILLER",
        "authorized_official_first_name": "KELI",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "561-672-8345"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1550AD682301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Clarke Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.