NPIMap

Organization Active NPI

Common Springs Support Services, LLC

  • In Home Supportive Care Agency
  • Webster, FL
National Provider Identifier
1033546270
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
232848 Issued in FL
Legal business name
COMMON SPRINGS SUPPORT SERVICES, LLC
Practice address
6188 Sharon CT
Webster, FL 33597-9700
Phone
(352) 583-3634
NPI assigned
Oct 2, 2013
Last updated
Oct 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Mrs. Termina Williams
Title
Owner
Phone
(352) 583-3634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 232848 FL Primary

Addresses

Primary practice location

6188 Sharon CT
Webster, FL 33597-9700

Mailing address

PO Box 994
Lacoochee, FL 33537-0994
Phone (352) 583-3634

Other identifiers 2

IdentifierTypeStateIssuer
005443200MedicaidFL
006787600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1033546270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994",
            "city": "LACOOCHEE",
            "state": "FL",
            "postal_code": "335370994",
            "telephone_number": "352-583-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6188 SHARON CT",
            "city": "WEBSTER",
            "state": "FL",
            "postal_code": "335979700",
            "telephone_number": "352-583-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON SPRINGS SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TERMINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-583-3634",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "232848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005443200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006787600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.