Organization
NFINITY PRIVATE DUTY HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GHOLAR (CEO)
(601) 441-3537
Entity
Organization
Contact information
Practice address
1814 COLUMBIA AVE STE B, PRENTISS, MS 39474
(601) 441-3537
Mailing address
PO BOX 177, PRENTISS, MS 39474-0177
(844) 244-2430
(844) 244-2430
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
253Z00000X
In Home Supportive Care Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
02/22/2021
Last updated
09/18/2025
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