NPIMap

Organization Active NPI

Support Systems, LLC

  • Community Health Worker
  • Vinton, VA
National Provider Identifier
1083876403
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
1225-03-001 Issued in VA
Legal business name
SUPPORT SYSTEMS, LLC
Practice address
519 Hardy Rd
Vinton, VA 24179-3526
Phone
(540) 293-4400
Fax
(540) 767-7669
NPI assigned
Jun 26, 2008
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Jennifer D Gobble, LMHPNPI 1871780437
Title
Owner/Director
Phone
(540) 293-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X 1225-03-001 VA Primary

Addresses

Primary practice location

519 Hardy Rd
Vinton, VA 24179-3526

Mailing address

519 Hardy Rd
Vinton, VA 24179-3526
Phone (540) 293-4400

National Provider Directory

National Provider Directory

Locations

519 Hardy Rd
Vinton, VA 24179
Phone (540) 293-4400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1083876403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 HARDY RD",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241793526",
            "telephone_number": "540-293-4400",
            "fax_number": "540-767-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 HARDY RD",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241793526",
            "telephone_number": "540-293-4400",
            "fax_number": "540-767-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "GOBBLE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "540-293-4400",
        "authorized_official_credential": "LMHP"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "VA",
            "license": "1225-03-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.