NPIMap

Organization Active NPI

Outstanding Support Services of TN

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Memphis, TN
National Provider Identifier
1770161226
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
OUTSTANDING SUPPORT SERVICES OF TN
Practice address
3905 Wildleaf Dr
Memphis, TN 38116-5516
Phone
(901) 453-8838
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Angelique Vatoco Dilworth, MANPI 1689820417
Title
Chief Executive Officer
Phone
(901) 453-8838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary
Attendant Care ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 3747A0650X

Addresses

Primary practice location

3905 Wildleaf Dr
Memphis, TN 38116-5516

Mailing address

3905 Wildleaf Dr
Memphis, TN 38116-5516
Phone (901) 453-8838

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL acrockett@innovativesupportservicestn.org Direct
Direct Messaging Address acrockett@outstandingsupportservicestn.org Health Information Exchange (HIE)
Direct Messaging Address acrockett@outstandingsupportservicestn.org Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1770161226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 WILDLEAF DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381165516",
            "telephone_number": "901-453-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 WILDLEAF DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381165516",
            "telephone_number": "901-453-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTSTANDING SUPPORT SERVICES OF TN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "DILWORTH",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_middle_name": "VATOCO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "901-453-8838",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "acrockett@innovativesupportservicestn.org",
            "affiliation": "N",
            "endpointDescription": "acrockett@outstandingsupportservicestn.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3905 Wildleaf Dr",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381165516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acrockett@outstandingsupportservicestn.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3905 Wildleaf Dr",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381165516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acrockett@outstandingsupportservicestn.org",
            "affiliation": "N",
            "endpointDescription": "e-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3905 Wildleaf Dr",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381165516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.