NPIMap

Organization Active NPI

Issaa Residential Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Townsend, DE
National Provider Identifier
1053136267
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ISSAA RESIDENTIAL SERVICES LLC
Practice address
345 Sunnyside LN
Townsend, DE 19734-9043
Phone
(302) 507-7292
NPI assigned
Nov 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Authorized official

Name
Sam Abloyou Marzar
Title
President
Phone
(302) 507-7292

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

345 Sunnyside LN
Townsend, DE 19734-9043

Mailing address

345 Sunnyside LN
Townsend, DE 19734-9043
Phone (302) 507-7292

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732320000000",
    "number": "1053136267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 SUNNYSIDE LN",
            "city": "TOWNSEND",
            "state": "DE",
            "postal_code": "197349043",
            "telephone_number": "302-507-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SUNNYSIDE LN",
            "city": "TOWNSEND",
            "state": "DE",
            "postal_code": "197349043",
            "telephone_number": "302-507-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAA RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A",
        "authorized_official_last_name": "MARZAR",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "ABLOYOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-507-7292"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Townsend, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.