Support Care Group, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

21486096 Issued in FL

Legal business name

SUPPORT CARE GROUP, INC.

Practice address

13112 SW 128TH St
Miami, FL 33186-5859

Phone

(305) 238-8080

Fax

(305) 234-0820

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Jacqueline Buell

Title

Administrator

Phone

(305) 238-8080

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043367550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13112 SW 128TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865859",
            "telephone_number": "305-238-8080",
            "fax_number": "305-234-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13112 SW 128TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865859",
            "telephone_number": "305-238-8080",
            "fax_number": "305-234-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT CARE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUELL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-238-8080"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "21486096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21486096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Supino, M.D.
• Andrea Suplick, ARNP
• Ludgy Renaud Supplice, FNP
• Supplies Care DME Corp
• Support & Solution East Coast, Inc
• Support Coordinator & Management Services, Inc.
• Supportive Health Services, PLLC
• Supportive Health Systems Corp
• Supra Medical Group II, LLC
• Supra Medical Group II, LLC

• Home Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.