Standard Integrated Supports Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

R3586 Issued in MD

Legal business name

STANDARD INTEGRATED SUPPORTS INC

Practice address

600 Reisterstown Rd
Suite 300a
Pikesville, MD 21208-5104

Phone

(410) 415-7025

Fax

(410) 415-7026

NPI assigned

Jul 12, 2014

Organization subpart

No

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

Authorized official

Name

Mufu Adekoya

Title

Executive Director

Phone

(718) 812-2778

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1405123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405123200000",
    "number": "1417364399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 REISTERSTOWN RD",
            "address_2": "SUITE 300A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085104",
            "telephone_number": "410-415-7025",
            "fax_number": "410-415-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 REISTERSTOWN RD",
            "address_2": "SUITE 300A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085104",
            "telephone_number": "410-415-7025",
            "fax_number": "410-415-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDARD INTEGRATED SUPPORTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-12",
        "last_updated": "2014-07-12",
        "status": "A",
        "authorized_official_last_name": "ADEKOYA",
        "authorized_official_first_name": "MUFU",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-812-2778"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "R3586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Nursing Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2014; 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.