NPIMap

Organization Active NPI

Philadelphia Support Services and Management

  • Case Management Agency
  • Drexel Hill, PA
National Provider Identifier
1174035588
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PHILADELPHIA SUPPORT SERVICES AND MANAGEMENT
Doing business as
Philadelphia Support Services and Management
Practice address
876 Fairfax Rd
Drexel Hill, PA 19026-1624
Phone
(267) 240-2733
NPI assigned
Oct 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Shante Ginyard
Title
Ceo
Phone
(267) 240-4733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

876 Fairfax Rd
Drexel Hill, PA 19026-1624

Mailing address

876 Fairfax Rd
Drexel Hill, PA 19026-1624
Phone (267) 240-2733

Other names 1

  • Philadelphia Support Services and Management Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1174035588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 FAIRFAX RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261624",
            "telephone_number": "267-240-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 FAIRFAX RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261624",
            "telephone_number": "267-240-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA SUPPORT SERVICES AND MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "GINYARD",
        "authorized_official_first_name": "SHANTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-240-4733"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philadelphia Support Services and Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.