Active NPI
Supportive Solutions LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Florence, AZ
National Provider Identifier
1699542480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- SUPPORTIVE SOLUTIONS LLC
- Doing business as
- Supportive Solutions LLC
- Practice address
- 8291 W Campanella Way
Florence, AZ 85132-4015 - Phone
- (602) 515-9105
- NPI assigned
- Dec 11, 2023
- Last updated
- Aug 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Owinyo Otieno
- Title
- Adminstrator
- Phone
- (602) 515-9105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
8291 W Campanella Way
Florence, AZ 85132-4015
Mailing address
8291 W Campanella Way
Florence, AZ 85132-4015
Phone (602) 515-9105
Other names 1
- SUPPORTIVE SOLUTIONS LLC
National Provider Directory
National Provider Directory- Tax ID family
- Supportive Solutions LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Florence, AZ
- NPI 1568379535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755648000000",
"number": "1699542480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8291 W CAMPANELLA WAY",
"city": "FLORENCE",
"state": "AZ",
"postal_code": "851324015",
"telephone_number": "602-515-9105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8291 W CAMPANELLA WAY",
"city": "FLORENCE",
"state": "AZ",
"postal_code": "851324015",
"telephone_number": "602-515-9105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPORTIVE SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-11",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A",
"authorized_official_last_name": "OTIENO",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "OWINYO",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "602-515-9105"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SUPPORTIVE SOLUTIONS LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SUPPORTIVE SOLUTIONS LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Florence, AZ
- Walter Duayne Storm, M.D.
- Rebecca Sullivan, LPN
- Sun Life Family Health Center, Inc. (Sun Life Family Health Center-Florence)
- Sun Life Family Health Center, Inc. (Sun Life Family Health Center-Florence)
- Supportive Solutions LLC
- Talk Teachers Speech Language Hearing Services PLLC
- Monica Kaye Tapia, MS, CCC-SLP
- Nicole Taylor, PH.D., J.D.
- Ryan William Taylor, F.N.P.
- Telednpnow PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.