NPIMap

Organization Active NPI

Support Solutions of Tennessee

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Memphis, TN
National Provider Identifier
1427280569
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
SUPPORT SOLUTIONS OF TENNESSEE
Practice address
5909 Shelby Oaks Dr Ste 100
Memphis, TN 38134-7318
Phone
(901) 383-9193
Fax
(901) 383-9195
NPI assigned
Aug 21, 2009
Last updated
Aug 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Miss Angelique Vatoco Dilworth, MANPI 1689820417
Title
Behavior Analyst
Phone
(901) 383-9193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X PSS0000000274 TN
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU Primary

Addresses

Primary practice location

5909 Shelby Oaks Dr Ste 100
Memphis, TN 38134-7318

Mailing address

5909 Shelby Oaks Dr Ste 100
Memphis, TN 38134-7318
Phone (901) 383-9193

National Provider Directory

National Provider Directory
Tax ID family
Support Solutions of the Midsouth LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1427280569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 SHELBY OAKS DR STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347318",
            "telephone_number": "901-383-9193",
            "fax_number": "901-383-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 SHELBY OAKS DR STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347318",
            "telephone_number": "901-383-9193",
            "fax_number": "901-383-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT SOLUTIONS OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "DILWORTH",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_middle_name": "VATOCO",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "901-383-9193",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": "PSS0000000274",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.