My Support System LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MY SUPPORT SYSTEM LLC

Practice address

2440 Texas Pkwy Ste 245
Missouri City, TX 77489-4205

Phone

(832) 517-2345

NPI assigned

Apr 13, 2020

Organization subpart

No

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

Authorized official

Name

Latonia Kent

Title

Administator

Phone

(832) 517-2345

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1780203448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 TEXAS PKWY STE 245",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774894205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 TEXAS PKWY STE 245",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774894205",
            "telephone_number": "832-517-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SUPPORT SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "LATONIA",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "832-517-2345"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.