Organization Active NPI

Senior Supportsystem Home Care LLC

  • In Home Supportive Care Agency
  • Apex, NC
National Provider Identifier
1255119210
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SENIOR SUPPORTSYSTEM HOME CARE LLC
Practice address
8329 Bells Lake Rd
Apex, NC 27539-8382
Phone
(919) 931-6701
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Manzarul Islam
Title
Owner
Phone
(919) 931-6701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8329 Bells Lake Rd
Apex, NC 27539-8382

Mailing address

8329 Bells Lake Rd
Apex, NC 27539-8382

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1255119210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8329 BELLS LAKE RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275398382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8329 BELLS LAKE RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275398382",
            "telephone_number": "919-931-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SUPPORTSYSTEM HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "MANZARUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-931-6701"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.