Organization Active NPI

Supplemental Support Care Services LLC

  • In Home Supportive Care Agency
  • Pensacola, FL
National Provider Identifier
1669132171
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUPPLEMENTAL SUPPORT CARE SERVICES LLC
Doing business as
SUPPLEMENTAL SUPPORT CARE SERVICES LLC
Practice address
321 N de Villiers St Ste 226
Pensacola, FL 32501-3894
Phone
(850) 741-2677
Fax
(850) 285-0209
NPI assigned
Dec 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Mrs. Gabrielle D SimsNPI 1144993932
Title
Owner
Phone
(850) 293-6488

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

321 N de Villiers St Ste 226
Pensacola, FL 32501-3894

Mailing address

321 N de Villiers St Ste 226
Pensacola, FL 32501-3894
Phone (850) 741-2677

Other practice location 1

34491 US Highway 98 Unit A
Lillian, AL 36549-4049
Phone (850) 346-1780

Other identifiers 1

IdentifierTypeStateIssuer
117781600MedicaidFL

Other names 1

  • SUPPLEMENTAL SUPPORT CARE SERVICES LLC Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL admin@supplemental-care-services.com Direct
CONNECT URL alabama@supplemental-care-services.com Direct

National Provider Directory

National Provider Directory

Locations

34491 US Highway 98
#A
Lillian, AL 36549
Phone (251) 752-3146

321 N De Villiers St
Ste 226
Pensacola, FL 32501
Phone (850) 741-2677

321 N De Villiers St
Ste 211
Pensacola, FL 32501
Phone (850) 293-6488

8180 Pensacola Blvd
Ste 215
Pensacola, FL 32534
Phone (866) 563-9853

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": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1669132171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N DE VILLIERS ST STE 226",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013894",
            "telephone_number": "850-741-2677",
            "fax_number": "850-285-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N DE VILLIERS ST STE 226",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013894",
            "telephone_number": "850-741-2677",
            "fax_number": "850-285-0209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34491 US Highway 98 Unit A",
            "address_purpose": "LOCATION",
            "city": "Lillian",
            "state": "AL",
            "postal_code": "365494049",
            "country_code": "US",
            "telephone_number": "850-346-1780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPPLEMENTAL SUPPORT CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-293-6488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117781600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@supplemental-care-services.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "321 N De Villiers St Ste 226",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325013894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alabama@supplemental-care-services.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "34491 US Highway 98 Unit A",
            "city": "Lillian",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365494049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SUPPLEMENTAL SUPPORT CARE SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUPPLEMENTAL SUPPORT CARE SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.