Organization Active NPI

Infinite Support Services LLC

  • Home Health Aide
  • Mount Dora, FL
National Provider Identifier
1184136145
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
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

Updated by the provider on Feb 2, 2026

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)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Meals Provider 174200000X
In Home Supportive Care Agency 253Z00000X FL
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X 23940 FL
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X 23940 FL
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
023916300MedicaidFL
024187700MedicaidFL
1477058832MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Infinite Support Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.