Supportive Steps to Recovery

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUPPORTIVE STEPS TO RECOVERY

Practice address

1200 E 78TH St Apt 205
Chicago, IL 60619-3372

Phone

(773) 485-9597

Fax

(773) 359-4521

NPI assigned

Dec 5, 2023

Organization subpart

No

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

Authorized official

Name

Lanay Deniece Walls, LSW

Title

Ceo

Phone

(773) 485-9597

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1548037096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E 78TH ST APT 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606193372",
            "telephone_number": "773-485-9597",
            "fax_number": "773-359-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E 78TH ST APT 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606193372",
            "telephone_number": "773-485-9597",
            "fax_number": "773-359-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE STEPS TO RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "LANAY",
        "authorized_official_middle_name": "DENIECE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-485-9597",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Supple
• Supplemental Health Care
• Supported Independence
• Supported Independence
• Supportive Services Agency, LLC
• Suppported Independence
• Supreme Home Healthcare LLC
• Supreme MD Inc.
• Gaminee Patel Sura, OTR/L
• Harsh Rohitkumar Sura, M.B.B.S

• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.