Innovative Support Solutions LLC

Primary specialty

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

Legal business name

INNOVATIVE SUPPORT SOLUTIONS LLC

Doing business as

innovative support solutions LLC

Practice address

2 Waterford Way Unit 209
Manchester, NH 03102-8109

Phone

(603) 848-8572

NPI assigned

Feb 28, 2025

Last updated

Mar 12, 2025By 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

Mr. Moussa Kamara

Title

Menber

Phone

(603) 848-8572

Specialties & licenses 1

Addresses

Other names 1

• innovative support solutions LLC Doing business as

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1265239909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WATERFORD WAY UNIT 209",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031028109",
            "telephone_number": "603-848-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WATERFORD WAY UNIT 209",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031028109",
            "telephone_number": "603-848-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SUPPORT SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "MOUSSA",
        "authorized_official_title_or_position": "MENBER",
        "authorized_official_telephone_number": "603-848-8572",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "innovative support solutions LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Manchester, NH
• Providers in Manchester, NH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.