Provider Demographics
NPI:1154973477
Name:INFINITE POSSIBILITIES, L.L.C.
Entity type:Organization
Organization Name:INFINITE POSSIBILITIES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GADSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-351-0880
Mailing Address - Street 1:PO BOX 783726
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34778-3726
Mailing Address - Country:US
Mailing Address - Phone:321-351-0880
Mailing Address - Fax:888-310-3372
Practice Address - Street 1:2008 CURIA RD
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-9812
Practice Address - Country:US
Practice Address - Phone:321-351-0880
Practice Address - Fax:888-310-3372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care