Your Supportive Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

YOUR SUPPORTIVE SERVICES, LLC

Doing business as

Your Supportive Services

Practice address

343 E 4TH N Ste 121
Rexburg, ID 83440-6004

Phone

(208) 339-4902

NPI assigned

Mar 11, 2009

Organization subpart

No

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

Authorized official

Name

James Louis Huml Jr.

Title

Partner/Administrator

Phone

(208) 339-4902

Specialties & licenses 1

Addresses

Other names 1

• Your Supportive Services Doing business as

Locations

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246579200000",
    "number": "1316188964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341",
            "address_2": "343 E 4TH N SUITE 121",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834400341",
            "telephone_number": "208-339-4902",
            "fax_number": "208-359-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E 4TH N STE 121",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834406004",
            "telephone_number": "208-339-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR SUPPORTIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-07-03",
        "status": "A",
        "authorized_official_last_name": "HUML",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PARTNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "208-339-4902",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Supportive Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.