Pressential Supportive Services, LLC.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PRESSENTIAL SUPPORTIVE SERVICES, LLC.

Practice address

7451 Riviera Blvd Ste 102
Miramar, FL 33023-6567

Phone

(305) 762-2049

NPI assigned

Jan 16, 2021

Organization subpart

No

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

Authorized official

Name

Stephanie Elvine, PROFESSIONAL GUARDIA

Title

President

Phone

(305) 762-2049

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610755200000",
    "number": "1356930069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849171",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330841171",
            "telephone_number": "305-762-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 RIVIERA BLVD STE 102",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236567",
            "telephone_number": "305-762-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESSENTIAL SUPPORTIVE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-16",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A",
        "authorized_official_last_name": "ELVINE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-762-2049",
        "authorized_official_credential": "PROFESSIONAL GUARDIA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.