Support Services.Com, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SUPPORT SERVICES.COM, LLC

Practice address

2121 Corporate Square Blvd Ste 118
Jacksonville, FL 32216-1977

Phone

(904) 382-5436

Fax

(904) 212-0417

NPI assigned

Jul 13, 2020

Last updated

Jul 13, 2020By 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. Ronald Anthony McCauley

Title

Support Coordinator

Phone

(904) 382-5436

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1811515125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8294",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322390294",
            "telephone_number": "904-382-5436",
            "fax_number": "904-212-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 CORPORATE SQUARE BLVD STE 118",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161977",
            "telephone_number": "904-382-5436",
            "fax_number": "904-212-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT SERVICES.COM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "MCCAULEY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "SUPPORT COORDINATOR",
        "authorized_official_telephone_number": "904-382-5436",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678284196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• In Home Supportive Care Agency in Florida

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