Advance Support Services, LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

ADVANCE SUPPORT SERVICES, LLC

Practice address

2585 SW National Cir
Port Saint Lucie, FL 34953-2530

Phone

(772) 341-0676

NPI assigned

Feb 3, 2022

Organization subpart

No

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

Authorized official

Name

Blanca Doris Carranza

Title

Owner

Phone

(772) 341-0676

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1750034252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 SW NATIONAL CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532530",
            "telephone_number": "772-341-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 SW NATIONAL CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532530",
            "telephone_number": "772-341-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "CARRANZA",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "DORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-341-0676"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.