Healthcare Provider Details

I. General information

NPI: 1851128003
Provider Name (Legal Business Name): INFINITY MEDGROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25000 EUCLID AVE STE 206
EUCLID OH
44117-2647
US

IV. Provider business mailing address

25000 EUCLID AVE STE 206
EUCLID OH
44117-2647
US

V. Phone/Fax

Practice location:
  • Phone: 216-233-1820
  • Fax: 888-622-2385
Mailing address:
  • Phone: 216-233-1820
  • Fax: 888-622-2385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. SHEREE LAVETTE STARR
Title or Position: OWNER
Credential: CNP
Phone: 216-233-1820