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General NPI Number Information
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NPI Number | 1487363735
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Entity Type | Organization
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Legal Business Name | INFINITY CARE SUPPORT SERVICES
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 5310 LENOX AVE
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City | JACKSONVILLE
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State | FL
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Zip | 32205-4736
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Country | US
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Telephone | 904-570-8601
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Fax | 904-570-8601
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Provider Business Mailing Address
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Address Line | 5310 LENOX AVE STE B
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City | JACKSONVILLE
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State | FL
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Zip | 32205-4736
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Country | US
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Telephone | 904-570-8601
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Fax | 904-570-8601
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Authorized Official
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Title or Position | OWNER
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Name | TARKESHIA SHUMAN
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Credential |
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Telephone | 904-570-8601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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