NPIMap

Organization Active NPI

Ms Consulting & Support Services LLC

  • In Home Supportive Care Agency
  • Clermont, FL
National Provider Identifier
1396202891
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MS CONSULTING & SUPPORT SERVICES LLC
Practice address
1290 N Ridge Blvd Apt 522
Clermont, FL 34711-2871
Phone
(352) 432-9910
NPI assigned
Feb 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Miranda N Smith
Title
Owner
Phone
(352) 431-0929

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

1290 N Ridge Blvd Apt 522
Clermont, FL 34711-2871

Mailing address

1290 N Ridge Blvd Apt 522
Clermont, FL 34711-2871
Phone (352) 432-9910

Other identifiers 3

IdentifierTypeStateIssuer
102132700MedicaidFL
102132701MedicaidFL
7426917MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1396202891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 N RIDGE BLVD APT 522",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112871",
            "telephone_number": "352-432-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 N RIDGE BLVD APT 522",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112871",
            "telephone_number": "352-432-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS CONSULTING & SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-431-0929"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102132700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102132701",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7426917",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.