Nfinity Innovative Solutions LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NFINITY INNOVATIVE SOLUTIONS LLC

Doing business as

Nfinity Innovative Solutions

Practice address

1814 Columbia Ave Ste B
Prentiss, MS 39474-5002

Phone

(844) 244-2430

Fax

(844) 244-2430

NPI assigned

Feb 8, 2024

Last updated

Feb 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly GholarNPI 1376714667

Title

Owner

Phone

(844) 244-2430

Specialties & licenses 2

Addresses

Other names 1

• NFINITY INNOVATIVE SOLUTIONS Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Gholar

  • Home Health Agency
  • Prentiss, MS
  • NPI 1376714667

  Health & Wellness Coach

  NPD Authorized official

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1114781408",
    "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": "394745002",
            "telephone_number": "844-244-2430",
            "fax_number": "844-244-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NFINITY INNOVATIVE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "GHOLAR",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-244-2430"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NFINITY INNOVATIVE SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NFINITY INNOVATIVE SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anquenette Miller, CCSS
• Laura Jackson Miller, M.D.
• Mississippi State Department of Health
• Olivia D Moran, MD
• Diane Morris, CFNP
• Nfinity Private Duty Home Health LLC
• Angela Marice Perkins, FNP-C
• Edrice Polk, LPC
• Prentiss Primary Care, P.a.
• Prentiss Regional Hospital and Ecf, Inc. (Jefferson Davis Community Hospital)

• Clinical Medical Laboratory in Prentiss, MS
• Providers in Prentiss, MS by specialty
• Clinical Medical Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.