Westside Support Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

251C00000X Issued in OH

Legal business name

WESTSIDE SUPPORT SERVICES LLC

Practice address

639 Brumfield Rd
Lancaster, OH 43130-2801

Phone

(740) 689-0963

Fax

(740) 689-0971

NPI assigned

Apr 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly J ConradNPI 1356292130

Title

Owner Operator

Phone

(740) 689-0963

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Jean Conrad

  • Personal Care Attendant
  • Lancaster, OH
  • NPI 1356292130
  Authorized official Same address or phone

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710100979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 BRUMFIELD RD",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302801",
            "telephone_number": "740-689-0963",
            "fax_number": "740-689-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 BRUMFIELD RD",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302801",
            "telephone_number": "740-689-0963",
            "fax_number": "740-689-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER  OPERATOR",
        "authorized_official_telephone_number": "740-689-0963"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "251C00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Marie Wentz, FNP-C
• Jessica L Wesaw
• Kenneth Westenhouser III, CDCA,PRS
• Kenneth Matthew Westenhouser IV
• Geanine Elizabeth Weston, APRN
• Tesila Nichole Wetzel
• Emma Whaley
• Madeline Jane Whaley, BA
• Tracy Wheeler, PT
• Melissa A Whistine, LPN

• Developmentally Disabled Services Day Training Agency in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• 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.