Organization Active NPI

Support360 Inc.

  • In Home Supportive Care Agency
  • St Petersburg, FL
National Provider Identifier
1801754411
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUPPORT360 INC.
Practice address
2200 17TH Ave S
St Petersburg, FL 33712-2742
Phone
(727) 564-3556
NPI assigned
Jan 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Keionde Kanita Thompson
Title
Pres/ Owner/ Ceo
Phone
(727) 564-3556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2200 17TH Ave S
St Petersburg, FL 33712-2742

Mailing address

2200 17TH Ave S
St Petersburg, FL 33712-2742
Phone (727) 564-3556

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1801754411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 17TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337122742",
            "telephone_number": "727-564-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 17TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337122742",
            "telephone_number": "727-564-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT360 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KEIONDE",
        "authorized_official_middle_name": "KANITA",
        "authorized_official_title_or_position": "PRES/ OWNER/ CEO",
        "authorized_official_telephone_number": "727-564-3556"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.