Care Support Services

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

CARE SUPPORT SERVICES

Practice address

460 Hancock St
Rahway, NJ 07065-5158

Phone

(773) 715-3154

NPI assigned

Dec 29, 2017

Organization subpart

No

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

Authorized official

Name

Grace Adegboyega

Title

SC Supervisor

Phone

(773) 715-3154

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1124535158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 HANCOCK ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070655158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 HANCOCK ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070655158",
            "telephone_number": "773-715-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "ADEGBOYEGA",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "SC SUPERVISOR",
        "authorized_official_telephone_number": "773-715-3154"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Rahway, NJ
• Providers in Rahway, NJ by specialty
• Case Manager/Care Coordinator in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.