Organization Active NPI

Nfinity Private Duty Home Health LLC

  • Clinical Medical Laboratory
  • Prentiss, MS
National Provider Identifier
1013501097
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NFINITY PRIVATE DUTY HOME HEALTH LLC
Practice address
1814 Columbia Ave Ste B
Prentiss, MS 39474
Phone
(601) 441-3537
NPI assigned
Feb 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly GholarNPI 1376714667
Title
Ceo
Phone
(601) 441-3537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X
In Home Supportive Care Agency 253Z00000X
Clinical Medical Laboratory 291U00000X Primary
Point of Service 305S00000X

Addresses

Primary practice location

1814 Columbia Ave Ste B
Prentiss, MS 39474

Mailing address

PO Box 177
Prentiss, MS 39474-0177
Phone (844) 244-2430

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2178164Nfinity Private Duty Home Health Dba Nfinity1814 Columbia Ave Ste B, Prentiss, MS 39474Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory

Locations

1814 Columbia Ave
Ste B
Prentiss, MS 39474
Phone (601) 441-3537

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1013501097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "PRENTISS",
            "state": "MS",
            "postal_code": "394740177",
            "telephone_number": "844-244-2430",
            "fax_number": "844-244-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 COLUMBIA AVE STE B",
            "city": "PRENTISS",
            "state": "MS",
            "postal_code": "39474",
            "telephone_number": "601-441-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NFINITY PRIVATE DUTY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "GHOLAR",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-441-3537"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prentiss, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.