Healthcare Provider Details

I. General information

NPI: 1477436921
Provider Name (Legal Business Name): INFINITE HORIZONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 08/03/2025
Certification Date: 08/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

570 DAKOTA AVE
TIFFIN IA
52340-4724
US

IV. Provider business mailing address

570 DAKOTA AVE
TIFFIN IA
52340-4724
US

V. Phone/Fax

Practice location:
  • Phone: 507-327-8252
  • Fax:
Mailing address:
  • Phone: 507-327-8252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRADY R CARLBERG
Title or Position: CO-OWNER
Credential:
Phone: 507-327-8252