INFINITE SUPPORT SERVICES LLC NPI 1184136145

NPI Information

NPI: 1184136145
Provider Name: INFINITE SUPPORT SERVICES LLC
Classification: Meals - 174200000X
Entity Type: Organization
Address:
1345 N GRANDVIEW ST
MOUNT DORA, FL
ZIP 32757
Phone: (407) 986-7557
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INFINITE SUPPORT SERVICES LLC is a meals in Mount Dora, FL. The provider is a public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home. INFINITE SUPPORT SERVICES LLC NPI is 1184136145. The provider is registered as an organization entity type.

The provider's business location address is:

1345 N GRANDVIEW ST
MOUNT DORA, FL
ZIP 32757-811
Phone: (407) 986-7557
Fax: (352) 504-4354

The provider's authorized official is Deporshia Arvetta Blackmon .
The authorized official title is Administrator and has the following contact phone number (407) 986-7557.

The enumeration date for this NPI number is 10/31/2017 and was last updated on 12/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	253Z00000X	In Home Supportive Care			FLORIDA	No
2	372500000X	Chore Provider		23940	FLORIDA	No
3	372600000X	Adult Companion		23940	FLORIDA	No
4	3747A0650X	Technician	Attendant Care Provider			No
5	376J00000X	Homemaker		23940	FLORIDA	No
6	385H00000X	Respite Care				No
7	174200000X	Meals				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	023916300	MEDICAID	FLORIDA
2	1477058832	MEDICAID	FLORIDA
3	024187700	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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