NPI Code Detail JSON Logo

1477436921 NPI number — INFINITE HORIZONS LLC

NPI Number: 1477436921
Health Care Provider/Practitioner: INFINITE HORIZONS LLC

Information about “1477436921” NPI (INFINITE HORIZONS LLC) exists in 1477436921 in HTML format HTML  |  1477436921 in plain Text format TXT  |  1477436921 in PDF (Portable Document Format) PDF  |  1477436921 in an XML format XML  formats.

NPI Number : 1477436921 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477436921",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INFINITE HORIZONS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "570 DAKOTA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TIFFIN",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "52340-4724",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "507-327-8252",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "570 DAKOTA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TIFFIN",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "52340-4724",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "507-327-8252",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/30/2025",
    "LastUpdateDate": "08/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CARLBERG",
    "AuthorizedOfficialFirstName": "BRADY",
    "AuthorizedOfficialMiddleName": "R",
    "AuthorizedOfficialTitle": "CO-OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "507-327-8252",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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