NPIMap

Organization Active NPI

Infinite Support Services LLC

  • In Home Supportive Care Agency
  • Zellwood, FL
National Provider Identifier
1477058832
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INFINITE SUPPORT SERVICES LLC
Practice address
3116 N Washington St
Zellwood, FL 32798-9661
Phone
(352) 346-0831
NPI assigned
Mar 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Authorized official

Name
Deporshia Blackmon
Title
Administrator
Phone
(352) 346-0831

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3116 N Washington St
Zellwood, FL 32798-9661

Mailing address

129 Grove Ridge Circle
104
Leesburg, FL 34748
Phone (352) 346-0831

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.

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1477058832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 GROVE RIDGE CIRCLE",
            "address_2": "104",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34748",
            "telephone_number": "352-346-0831",
            "fax_number": "407-814-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 N WASHINGTON ST",
            "city": "ZELLWOOD",
            "state": "FL",
            "postal_code": "327989661",
            "telephone_number": "352-346-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "DEPORSHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-346-0831"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zellwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.