MEDICARE: INFINITE BEHAVIORAL SOLUTIONS 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	251B00000X	Case Management Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1073474607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITE BEHAVIORAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	4485 SW MASEFIELD ST
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34953-6867
Country	:	US
Telephone Number	:	786-760-2974
Fax Number	:

Provider Business Practice Location Address
First Line	:	4485 SW MASEFIELD ST
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34953-6867
Country	:	US
Telephone Number	:	786-760-2974
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CYNTHIA KIRANA MONROE
Credential	:
Telephone Number	:	786-760-2974

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	11/21/2025

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