INFINITE POTENTIAL SUPPORTIVE SERVICES, LLC – NPI #1497070296
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
INFINITE POTENTIAL SUPPORTIVE SERVICES, LLC is a community based residential treatment facility located in EAST STONE GAP, VA. NPPES has assigned the NPI number 1497070296 to INFINITE POTENTIAL SUPPORTIVE SERVICES, LLC on April 05, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INFINITE POTENTIAL SUPPORTIVE SERVICES, LLC below.
NPI Profile for
INFINITE POTENTIAL SUPPORTIVE SERVICES, LLC
(more than 16 years ago)
EAST STONE GAP, VA 24246 Phone: (276) 523-2797 Fax: (276) 523-2797
2114 AVON STREET
EAST STONE GAP, VA 24246-0390 Phone: (276) 523-2797 Fax: (276) 523-2797
DIRECTER/OWNER
Phone: (276) 523-2797
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
VA | 1213 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.