Organization Active NPI

Rendon Support Services, Inc.

  • Case Management Agency
  • Brandon, FL
National Provider Identifier
1104129659
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
RENDON SUPPORT SERVICES, INC.
Practice address
1106 N Parsons Ave
Suite 202
Brandon, FL 33510-3140
Phone
(813) 684-2646
Fax
(813) 643-1054
NPI assigned
Dec 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Mrs. Patricia Rendon
Title
President
Phone
(727) 580-7147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1106 N Parsons Ave
Suite 202
Brandon, FL 33510-3140

Mailing address

4706 Preston Woods Dr
Valrico, FL 33596-7873
Phone (813) 684-2646

Other identifiers 1

IdentifierTypeStateIssuer
689611198MedicaidFL

Other names 1

  • E Ted Bean & Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
E Ted Bean Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1106 N Parsons Ave
Ste 202
Brandon, FL 33510
Phone (813) 684-2646

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1104129659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 PRESTON WOODS DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335967873",
            "telephone_number": "813-684-2646",
            "fax_number": "813-643-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N PARSONS AVE",
            "address_2": "SUITE 202",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103140",
            "telephone_number": "813-684-2646",
            "fax_number": "813-643-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENDON SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "RENDON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-580-7147",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689611198",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E Ted Bean & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.