Support Systems and Services

Primary specialty

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

Legal business name

SUPPORT SYSTEMS AND SERVICES

Practice address

900 Royal Heights Rd
Belleville, IL 62226-5457

Phone

(618) 277-4100

Fax

(618) 277-4355

NPI assigned

Dec 17, 2009

Organization subpart

No

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

Authorized official

Name

Mr. David JaquesNPI 1487983508

Title

President/Ceo

Phone

(618) 277-4100

Specialties & licenses 1

Addresses

Locations

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.

• David William Jaques

  • Behavior Analyst
  • Belleville, IL
  • NPI 1487983508
  Authorized official Same address or phone

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1760711980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ROYAL HEIGHTS RD",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265457",
            "telephone_number": "618-277-4100",
            "fax_number": "618-277-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROYAL HEIGHTS RD",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265457",
            "telephone_number": "618-277-4100",
            "fax_number": "618-277-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT SYSTEMS AND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "JAQUES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "618-277-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "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": []
}

• Ayla Sulley
• Michael J Sullivan, PA-C
• Leo W Sullivan. II, M.D.
• Sanna Margareta Sundquist, M.D.
• Jasmin Sunny
• Surpassing the Rest Home Care
• Surpassing the Rest Home Care
• Megan Sustar, R.N.
• Jazette Sutherland, LPN
• Rosanne L Sutter, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Belleville, IL
• Providers in Belleville, IL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.