NPIMap

Organization Active NPI

Infinite Support Services LLC

  • Home Health Aide
  • Eustis, FL
National Provider Identifier
1659937670
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
INFINITE SUPPORT SERVICES LLC
Practice address
2201 S Bay St # A5
Eustis, FL 32726-6300
Phone
(407) 986-7557
NPI assigned
May 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Authorized official

Name
Deporshia Blackmon
Title
Administrator
Phone
(407) 986-7557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

2201 S Bay St # A5
Eustis, FL 32726-6300

Mailing address

PO Box 246
Zellwood, FL 32798-0246

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

2201 S Bay St
#A5
Eustis, FL 32726
Phone (407) 986-7557

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1659937670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "ZELLWOOD",
            "state": "FL",
            "postal_code": "327980246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S BAY ST # A5",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266300",
            "telephone_number": "407-986-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "DEPORSHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-986-7557"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.