Organization Active NPI

Blount Support Services, Inc

  • Developmentally Disabled Services Day Training Agency
  • Orange Park, FL
National Provider Identifier
1295528362
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BLOUNT SUPPORT SERVICES, INC
Practice address
1728 Kingsley Ave Ste 1
Orange Park, FL 32073-4456
Phone
(904) 612-3917
NPI assigned
May 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Rodteice Blount
Title
Owner
Phone
(904) 612-3917

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
In Home Supportive Care Agency 253Z00000X
Chore Provider 372500000X

Addresses

Primary practice location

1728 Kingsley Ave Ste 1
Orange Park, FL 32073-4456

Mailing address

1728 Kingsley Ave Ste 1
Orange Park, FL 32073-4456
Phone (904) 612-3917

National Provider Directory

National Provider Directory

Locations

1728 Kingsley Ave
Ste 1
Orange Park, FL 32073
Phone (904) 397-3405

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1295528362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 KINGSLEY AVE STE 1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734456",
            "telephone_number": "904-612-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 KINGSLEY AVE STE 1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734456",
            "telephone_number": "904-612-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOUNT SUPPORT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "BLOUNT",
        "authorized_official_first_name": "RODTEICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-612-3917"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.