Active NPI
Advance Support LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Forney, TX
National Provider Identifier
1598442212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- ADVANCE SUPPORT LLC
- Practice address
- 972 Gold Finch LN
Forney, TX 75126-2340 - Phone
- (225) 938-6657
- NPI assigned
- Jul 4, 2023
- Last updated
- Jul 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Motia Dioke Elvis
- Title
- Ceo
- Phone
- (225) 938-6657
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NU | Primary |
Addresses
Primary practice location
972 Gold Finch LN
Forney, TX 75126-2340
Mailing address
300 8TH St SE Unit 472
Altoona, IA 50009-7012
National Provider Directory
National Provider DirectoryLocations
300 8th St SE
Unit 472
Altoona, IA 50009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688515200000",
"number": "1598442212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 8TH ST SE UNIT 472",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500097012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "972 GOLD FINCH LN",
"city": "FORNEY",
"state": "TX",
"postal_code": "751262340",
"telephone_number": "225-938-6657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCE SUPPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-04",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A",
"authorized_official_last_name": "DIOKE ELVIS",
"authorized_official_first_name": "MOTIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "225-938-6657"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Jummai Adikwu
- Camesheon Adinnu, MS,LCDC
- Advocate Christian Counseling, Inc
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- Nabiha Ahmed
- Aicare Mental Health Services
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.