NPIMap

Organization Active NPI

Support Solution Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Tampa, FL
National Provider Identifier
1033373626
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
690940096 Issued in FL
Legal business name
SUPPORT SOLUTION SERVICES LLC
Practice address
1904 W Skagway Ave
Tampa, FL 33604-1036
Phone
(813) 900-6895
Fax
(813) 769-9298
NPI assigned
Jul 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Ms. Felicia Garcia
Title
Manager
Phone
(813) 900-6895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 690940096 FL Primary

Addresses

Primary practice location

1904 W Skagway Ave
Tampa, FL 33604-1036

Mailing address

1904 W Skagway Ave
Tampa, FL 33604-1036
Phone (813) 900-6895

Other identifiers 2

IdentifierTypeStateIssuer
690940098MedicaidFL
690940096MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1033373626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 W SKAGWAY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336041036",
            "telephone_number": "813-900-6895",
            "fax_number": "813-769-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 W SKAGWAY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336041036",
            "telephone_number": "813-900-6895",
            "fax_number": "813-769-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT SOLUTION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-900-6895",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "690940096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690940098",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690940096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.