Organization
INFINITE HEART SUPPORT CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE JACKSON (OWNER/PROVIDER)
(813) 304-8251
Entity
Organization
Contact information
Practice address
9340 N 56TH ST STE 200B, TEMPLE TERRACE, FL 33617-5537
(813) 304-8251
Mailing address
13923 PAINTED BUNTING LN, RIVERVIEW, FL 33579-3525
(813) 304-8251
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
02/14/2024
Last updated
11/05/2025
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