Supreme Support Services, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUPREME SUPPORT SERVICES, LLC.

Practice address

220 N Main St Ste 500
Greenville, SC 29601-2129

Phone

(803) 979-9014

NPI assigned

Mar 8, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Woodrow Mentar Jr.

Title

Managing Partner

Phone

(803) 979-9014

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1425772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425772800000",
    "number": "1073906582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST STE 500",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012129",
            "telephone_number": "803-979-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST STE 500",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012129",
            "telephone_number": "803-979-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME SUPPORT SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-08",
        "last_updated": "2015-03-08",
        "status": "A",
        "authorized_official_last_name": "MENTAR",
        "authorized_official_first_name": "WOODROW",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "803-979-9014",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Super Duper Inc
• Keith Robert Superdock, MD
• Superior Healthcare Physical Medicine of Greenville Inc
• Superior Wellness
• Ryan William Supler, MS, APRN, FNP-C
• Pal Suranyi, M.D., PH.D.
• Azim Ebun Surka, MD
• Melissa Clark Surka, MSP CCC-SLP
• Kerri Beth Susko, LCSW
• Monica Miriam Sutton

• Community/Behavioral Health Agency in Greenville, SC
• Providers in Greenville, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2015; 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.