Provider Demographics
NPI:1497290951
Name:INFINITE RECOVERY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:INFINITE RECOVERY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHOT
Authorized Official - Middle Name:
Authorized Official - Last Name:VARDANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-803-8870
Mailing Address - Street 1:7811 PEACH AVE
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-2031
Mailing Address - Country:US
Mailing Address - Phone:747-264-1927
Mailing Address - Fax:747-264-1930
Practice Address - Street 1:7811 PEACH AVE
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-2031
Practice Address - Country:US
Practice Address - Phone:747-264-1927
Practice Address - Fax:747-264-1930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility