Supportive Care Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUPPORTIVE CARE SERVICES, LLC

Practice address

1964 Brigatine CV
Oviedo, FL 32765-2704

Phone

(407) 953-8899

NPI assigned

May 28, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Amy De Jesus, LCSWNPI 1780005520

Title

Director

Phone

(407) 953-8899

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Amy D Dejesus, LCSW

  • Clinical Social Worker
  • Winter Park, FL
  • NPI 1780005520
  NPD Authorized official

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1629691340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 BRIGATINE CV",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327652704",
            "telephone_number": "407-953-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 BRIGATINE CV",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327652704",
            "telephone_number": "407-953-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-953-8899",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Email",
            "affiliation": "N",
            "address_1": "1964 Brigatine Cv",
            "city": "Oviedo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327652704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Summerville Senior Living LLC (Summerville at Oviedo LLC)
• Summit Therapies, LLC
• Sunshine Counseling Services, LLC
• Sunshine State Pediatrics of Central Florida Inc
• Super Saver Pharmacy 4 LLC (Aventus Pharmacy)
• Cyndel Surdovel
• Ravi S Swami
• Shelby Sweeney, MS CCC-SLP
• Sweet Speech, LLC
• Emily Marie Swift, PTA

• Community/Behavioral Health Agency in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.