Provider Demographics
NPI:1073293510
Name:INFINITE HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:INFINITE HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TENEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-934-4744
Mailing Address - Street 1:1201 W PEACHTREE ST NW STE 2625 PMB 32968
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3499
Mailing Address - Country:US
Mailing Address - Phone:770-824-1979
Mailing Address - Fax:
Practice Address - Street 1:319 SHAGBARK LN
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30252-8737
Practice Address - Country:US
Practice Address - Phone:770-824-1979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty