Family Support Social Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FAMILY SUPPORT SOCIAL SERVICES, LLC

Doing business as

Family Support Social Services, LLC

Practice address

20 Mullen Dr
Sicklerville, NJ 08081-1660

Phone

(856) 404-2396

NPI assigned

Nov 17, 2022

Organization subpart

Yes

Parent organization

FAMILY SUPPORT SOCIAL SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Bibiana Acholonu

Title

Director

Phone

(856) 404-2396

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Support Social Services, LLC Doing business as

Part of

Family Support Social Services LLC

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1356050348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MULLEN DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811660",
            "telephone_number": "856-404-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MULLEN DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811660",
            "telephone_number": "856-404-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUPPORT SOCIAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY SUPPORT SOCIAL SERVICES, LLC",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "ACHOLONU",
        "authorized_official_first_name": "BIBIANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "856-404-2396"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "0450864266",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Support Social Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.