The Support Network L.L.C

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

THE SUPPORT NETWORK L.L.C

Practice address

453 Filaree PL
Henderson, NV 89015-7539

Phone

(310) 658-7486

NPI assigned

May 10, 2024

Last updated

May 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Breenata Bacon

Title

Managing Member

Phone

(310) 658-7486

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1528816857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 FILAREE PL",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157539",
            "telephone_number": "310-658-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 FILAREE PL",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157539",
            "telephone_number": "310-658-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SUPPORT NETWORK L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "BREENATA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "310-658-7486"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.