Supportive Care, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

07193048 Issued in VA

Legal business name

SUPPORTIVE CARE, INC.

Practice address

2825 S Crater Rd
Unit C
Petersburg, VA 23805-2473

Phone

(919) 931-1325

NPI assigned

Mar 8, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Chenise Jones

Title

Ceo

Phone

(919) 931-1325

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1497078232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 S CRATER RD",
            "address_2": "UNIT C",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052473",
            "telephone_number": "919-931-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 S CRATER RD",
            "address_2": "UNIT C",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052473",
            "telephone_number": "919-931-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-931-1325",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "07193048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Ann Sturdevant
• Ann Wade Sublette, CRNA
• Jack Lee Suddreth, CRNA
• Nishanth Sukumaran, MD
• John William Summerville, MD
• Supportive Solution LLC
• Supportive Therapeutic Options, LLC
• Jennifer Lynn Sutherland, PHD
• Samantha Angelica Sweitzer, FNP-C
• Erin Swierczewski

• Community/Behavioral Health Agency in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.