Healthcare Provider Details

I. General information

NPI: 1902742273
Provider Name (Legal Business Name): SM&M INFINITE AFFAIRS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1971 E BELTINE AVE 106
GRAND RAPIDS MI
49441
US

IV. Provider business mailing address

1071 ROYALE GLEN DR APT B
MUSKEGON MI
49441-7763
US

V. Phone/Fax

Practice location:
  • Phone: 407-721-5485
  • Fax:
Mailing address:
  • Phone: 407-721-5485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: SHAPRETTA MCCLAIN
Title or Position: OWNER
Credential:
Phone: 407-721-5485