Provider Demographics
NPI:1881189348
Name:INFINITE POSSIBILITIES BEHAVIORAL HEALTHCARE LLC
Entity Type:Organization
Organization Name:INFINITE POSSIBILITIES BEHAVIORAL HEALTHCARE LLC
Other - Org Name:INFINITE POSSIBILITIES PCA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-376-0177
Mailing Address - Street 1:10704 NEW BORO AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-4405
Mailing Address - Country:US
Mailing Address - Phone:951-376-0177
Mailing Address - Fax:
Practice Address - Street 1:5071 N RAINBOW BLVD STE 170
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-1688
Practice Address - Country:US
Practice Address - Phone:951-376-0177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INFINITE POSSIBILITIES BEHAVIORAL HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty