Support Services of Maryland Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

SUPPORT SERVICES OF MARYLAND INC

Doing business as

Support Services of Maryland

Practice address

839 Security Rd
Hagerstown, MD 21740-4144

Phone

(410) 424-9495

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Innocent Akpuaka, REGISTERED NURSE BSN

Title

Ceo/President

Phone

(410) 424-9495

Specialties & licenses 3

Addresses

Other names 1

• SUPPORT SERVICES OF MARYLAND Doing business as

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1043950298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 REAL PRINCESS LN",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212074493",
            "telephone_number": "410-424-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 SECURITY RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404144",
            "telephone_number": "410-424-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT SERVICES OF MARYLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "AKPUAKA",
        "authorized_official_first_name": "INNOCENT",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "410-424-9495",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED NURSE BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPPORT SERVICES OF MARYLAND",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUPPORT SERVICES OF MARYLAND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chakina Sumpter
• Sarah Sung
• Brienne Superczynski, LCSW-C
• Agnes Marie Supernavage, PT
• Charles J Supernavage, MD
• Survival House
• Survival Recovery
• Devin Sean Sutton
• Khetisuda Suvarnasuddhi, M.D.
• Connor Reed Swank, PT, DPT

• Developmental Disabilities Clinic/Center in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Developmental Disabilities Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.