NPIMap

Organization Active NPI

Support Staff, Inc.

  • Home Health Agency
  • Dunn, NC
National Provider Identifier
1639373178
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPPORT STAFF, INC.
Practice address
600 S Magnolia Ave
Su9Ite 104-B
Dunn, NC 28334-5825
Phone
(910) 230-0222
Fax
(910) 230-0333
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carley Yvonne Jegbadai, RN,BSN
Title
Administrator
Phone
(919) 790-1953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

600 S Magnolia Ave
Su9Ite 104-B
Dunn, NC 28334-5825

Mailing address

600 S Magnolia Ave
Su9Ite 104-B
Dunn, NC 28334-5825
Phone (910) 230-0222

National Provider Directory

National Provider Directory
Tax ID family
Support Staff Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 S Magnolia Ave
Ste 104B
Dunn, NC 28334
Phone (910) 230-0222

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639373178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MAGNOLIA AVE",
            "address_2": "SU9ITE 104-B",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345825",
            "telephone_number": "910-230-0222",
            "fax_number": "910-230-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAGNOLIA AVE",
            "address_2": "SU9ITE 104-B",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345825",
            "telephone_number": "910-230-0222",
            "fax_number": "910-230-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT STAFF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEGBADAI",
        "authorized_official_first_name": "CARLEY",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-790-1953",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.