Healthcare Provider Details

I. General information

NPI: 1073293510
Provider Name (Legal Business Name): INFINITE HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 SHAGBARK LN
MCDONOUGH GA
30252-8737
US

IV. Provider business mailing address

1700 PENNSYLVANIA AVE STE 206
MCDONOUGH GA
30253-9129
US

V. Phone/Fax

Practice location:
  • Phone: 770-854-1979
  • Fax: 770-588-0602
Mailing address:
  • Phone: 770-854-1979
  • Fax: 770-588-0602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: TENEKA BYRD
Title or Position: OWNER
Credential:
Phone: 404-934-4744