Provider Demographics
NPI:1811872971
Name:INFINITY RESIDENTIAL SERIVCES LLC
Entity type:Organization
Organization Name:INFINITY RESIDENTIAL SERIVCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYTEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY-FAULKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-606-5143
Mailing Address - Street 1:2409 BARCLAY AVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23702-1717
Mailing Address - Country:US
Mailing Address - Phone:757-606-5143
Mailing Address - Fax:757-606-5143
Practice Address - Street 1:2409 BARCLAY AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23702-1717
Practice Address - Country:US
Practice Address - Phone:757-606-5143
Practice Address - Fax:757-606-5143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services