Support Services Network, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SUPPORT SERVICES NETWORK, INC.

Practice address

1213 Rosegate Blvd
Riviera Beach, FL 33404-1821

Phone

(561) 844-2799

Fax

(561) 841-8237

NPI assigned

Jan 5, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Genaris HastonNPI 1063615417

Title

President

Phone

(561) 768-3600

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Genaris Haston

  • Developmentally Disabled Services Day Training Agency
  • Riviera Beach, FL
  • NPI 1063615417

  Day Training, Developmentally Disabled Services

  NPD (past) Authorized official

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

{
    "created_epoch": "1199491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199491200000",
    "number": "1407031727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221374",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334221374",
            "telephone_number": "561-768-3600",
            "fax_number": "561-841-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 ROSEGATE BLVD",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334041821",
            "telephone_number": "561-844-2799",
            "fax_number": "561-841-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT SERVICES NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-05",
        "last_updated": "2008-01-05",
        "status": "A",
        "authorized_official_last_name": "HASTON",
        "authorized_official_first_name": "GENARIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-768-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2008; 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.