# INFINITE HEART SUPPORT CARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194580613
- **Authorized official:** KELLIE JACKSON (OWNER/PROVIDER)
- **Authorized official phone:** (813) 304-8251

## Contact information

- **Practice address:** 9340 N 56TH ST STE 200B, TEMPLE TERRACE, FL 33617-5537
- **Practice address phone:** (813) 304-8251
- **Mailing address:** 13923 PAINTED BUNTING LN, RIVERVIEW, FL 33579-3525
- **Mailing address phone:** (813) 304-8251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/14/2024
- **Last updated:** 11/05/2025