Provider Demographics
NPI:1497630131
Name:INFINITE HOLISTIC CARE LLC
Entity type:Organization
Organization Name:INFINITE HOLISTIC CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-217-2855
Mailing Address - Street 1:5145 RAWHIDE ST APT 340
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89122-4814
Mailing Address - Country:US
Mailing Address - Phone:207-217-2855
Mailing Address - Fax:207-217-2855
Practice Address - Street 1:5145 RAWHIDE ST APT 340
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89122-4814
Practice Address - Country:US
Practice Address - Phone:207-217-2855
Practice Address - Fax:207-217-2855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities