Supportive Living LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SUPPORTIVE LIVING LLC

Practice address

117 Oak Terrace LN
Harvest, AL 35749-1202

Phone

(256) 400-1553

NPI assigned

Oct 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shakendria Brown

Title

Owner

Phone

(256) 400-1553

Specialties & licenses 2

Addresses

Other names 1

• Supportive Living Home Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1013484161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 OAK TERRACE LN",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357491202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 OAK TERRACE LN",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357491202",
            "telephone_number": "256-400-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHAKENDRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-400-1553"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supportive Living Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelci Smithmeyer
• Paula Jane Sorg, L.M.T. # 3321
• Southern Crescent Psychiatry and Couseling Center
• Victoria Sparkman
• Star Speech Therapy LLC
• Michael Kane Taylor, MD
• Tennessee Valley Lung Care, PC
• The Next Step Behavior LLC
• The Sanctuary Counseling Services, LLC
• Therapy Spot LLC

• In Home Supportive Care Agency in Harvest, AL
• Providers in Harvest, AL by specialty
• In Home Supportive Care Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.