Upstate Support Services, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

UPSTATE SUPPORT SERVICES, LLC

Practice address

247 Rachel Evans Dr
Boiling Springs, SC 29316-8395

Phone

(864) 266-2984

NPI assigned

Jan 7, 2011

Last updated

Jan 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Anessa Boyd

Title

Executive Director

Phone

(864) 583-5831

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1184928988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2099 S PINE ST",
            "address_2": "SUITE B",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293023349",
            "telephone_number": "864-583-5831",
            "fax_number": "864-583-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 RACHEL EVANS DR",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293168395",
            "telephone_number": "864-266-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "ANESSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-583-5831",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.