Supertask Living Solutions LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SUPERTASK LIVING SOLUTIONS LLC

Practice address

7843 Merchants Way
Jacksonville, FL 32222-2929

Phone

(904) 568-9228

NPI assigned

May 25, 2026

Last updated

May 25, 2026By 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

Mr. Percy Matthew Scruggins Jr.NPI 1063340537

Title

Manger

Phone

(904) 426-7130

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.

• Percy M Scruggins Jr.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jacksonville, FL
  • NPI 1063340537

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1760313365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7843 MERCHANTS WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222929",
            "telephone_number": "904-568-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7843 MERCHANTS WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222929",
            "telephone_number": "904-568-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERTASK LIVING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "SCRUGGINS",
        "authorized_official_first_name": "PERCY",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "904-426-7130",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "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": []
}

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• Supporting & Improving Lives, LLC
• Emilio P Supsupin Jr., M.D.
• Lydia Ann Sura, MOT, OTR/L
• Amy Marie Suralis, CRNA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.