Pro Support Services LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

PRO SUPPORT SERVICES LLC

Practice address

21625 Chagrin Blvd Ste 260
Beachwood, OH 44122-5363

Phone

(216) 551-6734

Fax

(216) 373-6565

NPI assigned

Jun 2, 2021

Organization subpart

No

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

Authorized official

Name

Felicia Ann HudsonNPI 1942876800

Title

Owner

Phone

(216) 551-6734

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Felicia Hudson, PCA

  • PACE Provider Organization
  • Bedford HTS, OH
  • NPI 1942876800

  Program of All-Inclusive Care for the Elderly (Pace) Provider Organization

  NPD Authorized official

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1144896887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21625 CHAGRIN BLVD STE 260",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225363",
            "telephone_number": "216-551-6734",
            "fax_number": "216-373-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21625 CHAGRIN BLVD STE 260",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225363",
            "telephone_number": "216-551-6734",
            "fax_number": "216-373-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21625 Chagrin Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441225335",
            "country_code": "US",
            "telephone_number": "216-551-6734",
            "fax_number": "216-373-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRO SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-551-6734"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• PACE Provider Organization in Beachwood, OH
• Providers in Beachwood, OH by specialty
• PACE Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.