Sure Support, Inc.

Primary specialty

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

Legal business name

SURE SUPPORT, INC.

Practice address

25016 Creek LN
North Dinwiddie, VA 23803-8865

Phone

(804) 453-2022

NPI assigned

Mar 5, 2019

Last updated

Mar 5, 2019By 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

Raynard Wilson

Title

Owner

Phone

(804) 943-7997

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1306304746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14117 MORRISON CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25016 CREEK LN",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238038865",
            "telephone_number": "804-453-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURE SUPPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RAYNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-943-7997"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Dinwiddie, VA
• Providers in North Dinwiddie, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.