Support Works, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SUPPORT WORKS, INC.

Practice address

5300 Atlantic Ave
Abc Suites, 106-K
Raleigh, NC 27609-1122

Phone

(919) 349-0637

Fax

(919) 876-4614

NPI assigned

Mar 31, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Susie G. Eguez

Title

Executive Director

Phone

(919) 349-0637

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SWI Other name

Locations

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447370481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 ATLANTIC AVE",
            "address_2": "ABC SUITES, 106-K",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091122",
            "telephone_number": "919-349-0637",
            "fax_number": "919-876-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 ATLANTIC AVE",
            "address_2": "ABC SUITES, 106-K",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091122",
            "telephone_number": "919-349-0637",
            "fax_number": "919-876-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT WORKS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EGUEZ",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-349-0637",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409106",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Supplemental Health Care
• Supplemental Health Care
• Supplemental Healthcare Staffing
• Support Staff Inc
• Support Therapeutic Services, LLC
• Supportive Pathways LLC.
• Supportive Services
• Supreme Care Professional Nursing Agency, P.a.
• Supreme Youth Development Center
• Kawanjit Surapur, MD

• Developmentally Disabled Services Day Training Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.