Total Support Healthcare Services

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

TOTAL SUPPORT HEALTHCARE SERVICES

Practice address

12387 W Glenrosa Ave
Avondale, AZ 85392-4287

Phone

(623) 419-4001

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Ikechukwu 'Ike' Igbokwe

Title

Ceo/Owner

Phone

(623) 419-4001

Specialties & licenses 1

Addresses

Other names 1

• Total Support Healthcare Services Doing business as

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1689448979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12387 W GLENROSA AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924287",
            "telephone_number": "623-419-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12387 W GLENROSA AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924287",
            "telephone_number": "623-419-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL SUPPORT HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "IGBOKWE",
        "authorized_official_first_name": "IKECHUKWU 'IKE'",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "623-419-4001"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Support Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmental Disabilities Clinic/Center in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Developmental Disabilities Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.