MEDICARE: INFINITE HOPE HOUSING LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	177F00000X	Lodging Provider

General Provider Information

NPI Number	:	1649102898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITE HOPE HOUSING LLC

Provider Business Mailing Address
First Line	:	3905 STATE ST STE 7
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-5107
Country	:	US
Telephone Number	:	805-940-0292
Fax Number	:	805-940-0293

Provider Business Practice Location Address
First Line	:	3485 HADLEY WAY
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93455-2733
Country	:	US
Telephone Number	:	805-940-0292
Fax Number	:	805-940-0293

Authorized Official
Title or Position	:	CEO
Name	:	TYSON AYE
Credential	:
Telephone Number	:	805-940-0292

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “INFINITE HOPE HOUSING LLC ” Practice Location

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