Supported Living Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SUPPORTED LIVING INC.

Practice address

7512 Keith LN
Sachse, TX 75048-2195

Phone

(214) 938-1723

Fax

(972) 782-2910

NPI assigned

Jul 7, 2009

Last updated

Aug 19, 2009By 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

Peters Okoye

Title

Ceo

Phone

(214) 938-1723

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1215166624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 KEITH LN",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750482195",
            "telephone_number": "214-938-1723",
            "fax_number": "972-782-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7512 KEITH LN",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750482195",
            "telephone_number": "214-938-1723",
            "fax_number": "972-782-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTED LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "OKOYE",
        "authorized_official_first_name": "PETERS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-938-1723"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Health Urgent Care PLLC
• Sunland Medical Foundation (Trinity Regional Hospital Sachse)
• Superchargedbygrace LLC
• Support Care Agency Inc
• Supported Living Alternatives Inc.
• Ken S Suso, BSC,HIS,OTO TECH
• Tahiro Home Care LLC
• Kohan Tai
• Bradley Tate
• Texas Gut Health PLLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sachse, TX
• Providers in Sachse, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.