INFINITY RECOVERY LLC
NPI 1972389500
Community Based Residential Treatment Facility, Mental Illness in San Diego, CA

Active since September 08, 2023CLIA 05D2316904 · Waiver
9486 OWL CT, SAN DIEGO, CA 92129(229) 343-6530 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Infinity Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INFINITY RECOVERY LLC (NPI 1972389500) is a healthcare organization registered as a community based residential treatment facility, mental illness in San Diego, California and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through January 13, 2027 and lists Rose Dehbozorgi, Owner, as its authorized official.

NPPES Registry Identity

NPI1972389500
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameINFINITY RECOVERY LLC
Location Address9486 OWL CTSan Diego, CA 92129-3541
Mailing Address9486 Owl CtSan Diego, CA 92129-3541
Organization SubpartNo
Authorized OfficialRose DehbozorgiOwner · (229) 343-6530
Enumeration DateSeptember 8, 2023
NPPES CertifiedSeptember 8, 2023
NPI 1972389500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
9486 OWL CT, San Diego, CA 92129

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2316904

Infinity Recovery, LLC · San Diego, CA
Active · expires Jan 13, 2027
CLIA Number05D2316904
Laboratory TypeDetox/Residential Sud
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorPhillip Milgram
Laboratory Phone(229) 343-6530
Laboratory LocationInfinity Recovery, LLC9486 Owl Ct, San Diego, CA 92129
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Infinity Recovery LLC's NPI number?

The NPI number for Infinity Recovery LLC is 1972389500. It was assigned to this organization in the NPPES registry on September 8, 2023.

Where is Infinity Recovery LLC located?

Infinity Recovery LLC is located at 9486 Owl Ct, San Diego, CA 92129. The listed phone number is (229) 343-6530.

What is Infinity Recovery LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Infinity Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2316904) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Infinity Recovery LLC was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.