Active NPI
Infinite Support Services LLC
- Home Health Aide
- Mount Dora, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- INFINITE SUPPORT SERVICES LLC
- Practice address
- 1345 N Grandview St
Mount Dora, FL 32757-3811 - Phone
- (407) 986-7557
- Fax
- (352) 504-4354
- NPI assigned
- Oct 31, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deporshia Arvetta Blackmon
- Title
- Administrator
- Phone
- (407) 986-7557
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Meals Provider | 174200000X | |||
| In Home Supportive Care Agency | 253Z00000X | FL | ||
| Chore Provider | 372500000X | 23940 | FL | |
| Adult Companion | 372600000X | 23940 | FL | |
| Attendant Care Provider | 3747A0650X | |||
| Home Health Aide | 374U00000X | Primary | ||
| Homemaker | 376J00000X | 23940 | FL | |
| Respite Care | 385H00000X |
Addresses
Primary practice location
1345 N Grandview St
Mount Dora, FL 32757-3811
Mailing address
17 E Magnolia Ave Ste 3-B
Eustis, FL 32726-3472
Phone (407) 986-7557
Other practice location 1
129 Grove Ridge Cir Apt 104
Leesburg, FL 34748-3572
Phone (407) 986-7557
Other practice location 2
1345 N Grandview St
Mount Dora, FL 32757-3811
Phone (407) 986-7557
Other practice location 3
129 Grove Ridge Circle
104
Leesburg, FL 34748
Phone (407) 986-7557
Other practice location 4
3116 N Washington St
Zellwood, FL 32798-9661
Phone (407) 986-7557
Other practice location 5
129 Grove Ridge Cir Apt 104
Leesburg, FL 34748-3572
Phone (407) 986-7557
Other practice location 6
129 Grove Ridge Cir Apt 104
Leesburg, FL 34748-3572
Phone (407) 986-7557
Other practice location 7
802 Liberty St
Eustis, FL 32726-3019
Phone (352) 346-0831
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023916300 | Medicaid | FL | |
| 024187700 | Medicaid | FL | |
| 1477058832 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Infinite Support Services LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Clermont, FL
- NPI 1356925184
-
- In Home Supportive Care Agency
- Zellwood, FL
- NPI 1477058832
-
- Home Health Aide
- Eustis, FL
- NPI 1659937670
Locations
17 E Magnolia Ave
Ste 3B
Eustis, FL 32726
1345 N Grandview St
Mount Dora, FL 32757
Phone (407) 986-7557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769990400000",
"number": "1184136145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 E MAGNOLIA AVE STE 3-B",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327263472",
"telephone_number": "407-986-7557",
"fax_number": "352-769-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 N GRANDVIEW ST",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327573811",
"telephone_number": "407-986-7557",
"fax_number": "352-504-4354"
}
],
"practiceLocations": [
{
"address_1": "129 Grove Ridge Cir Apt 104",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347483572",
"country_code": "US",
"telephone_number": "407-986-7557",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1345 N Grandview St",
"address_purpose": "LOCATION",
"city": "Mount Dora",
"state": "FL",
"postal_code": "327573811",
"country_code": "US",
"telephone_number": "407-986-7557",
"fax_number": "352-504-4354",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "129 Grove Ridge Circle",
"address_2": "104",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "34748",
"country_code": "US",
"telephone_number": "407-986-7557",
"fax_number": "407-814-2003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3116 N Washington St",
"address_purpose": "LOCATION",
"city": "Zellwood",
"state": "FL",
"postal_code": "327989661",
"country_code": "US",
"telephone_number": "407-986-7557",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "129 Grove Ridge Cir Apt 104",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347483572",
"country_code": "US",
"telephone_number": "407-986-7557",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "129 Grove Ridge Cir Apt 104",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347483572",
"country_code": "US",
"telephone_number": "407-986-7557",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "802 Liberty St",
"address_purpose": "LOCATION",
"city": "Eustis",
"state": "FL",
"postal_code": "327263019",
"country_code": "US",
"telephone_number": "352-346-0831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INFINITE SUPPORT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-31",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A",
"authorized_official_last_name": "BLACKMON",
"authorized_official_first_name": "DEPORSHIA",
"authorized_official_middle_name": "ARVETTA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "407-986-7557",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chore Provider",
"state": "FL",
"license": "23940",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": "FL",
"license": "23940",
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": "FL",
"license": "23940",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023916300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024187700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477058832",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.