MEDICARE: INFINITY GARDENS ENTERPRISE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	3104A0630X	Assisted Living Facility (Behavioral Disturbances)
3	320800000X	Mental Illness Community Based Residential Treatment Facility
4	310400000X	Assisted Living Facility
5	3104A0625X	Assisted Living Facility (Mental Illness)
6	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
7	171M00000X	Case Manager/Care Coordinator
8	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1588482715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITY GARDENS ENTERPRISE

Provider Business Mailing Address
First Line	:	3017 JIPSIE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77051-4135
Country	:	US
Telephone Number	:	832-363-9266
Fax Number	:

Provider Business Practice Location Address
First Line	:	3017 JIPSIE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77051-4135
Country	:	US
Telephone Number	:	346-380-3271
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SYDNEY GILMORE
Credential	:
Telephone Number	:	832-363-9266

Provider Enumeration Date	:	09/27/2024
Last Update Date	:	03/25/2026

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