NPIMap

Organization Active NPI

Hardcore Support Services, Inc.

  • Community/Behavioral Health Agency
  • Port St Lucie, FL
National Provider Identifier
1609194646
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HARDCORE SUPPORT SERVICES, INC.
Practice address
4502 SW Floral St
Port St Lucie, FL 34953-7621
Phone
(772) 293-9734
Fax
(863) 223-2089
NPI assigned
May 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Robert Andreas Rolle, BCABANPI 1851609838
Title
Director of Behavioral Services
Phone
(772) 293-9734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4502 SW Floral St
Port St Lucie, FL 34953-7621

Mailing address

4502 SW Floral St
Port St Lucie, FL 34953-7621

Other names 1

  • Hardcore Support Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1609194646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 SW FLORAL ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 SW FLORAL ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537621",
            "telephone_number": "772-293-9734",
            "fax_number": "863-223-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDCORE SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "ROLLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANDREAS",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL SERVICES",
        "authorized_official_telephone_number": "772-293-9734",
        "authorized_official_credential": "BCABA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hardcore Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.