Active NPI
Rendon Support Services, Inc.
- Case Management Agency
- Brandon, FL
National Provider Identifier
1841591807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- RENDON SUPPORT SERVICES, INC.
- Practice address
- 1106 N Parsons Ave
Brandon, FL 33510-3140 - Phone
- (813) 684-2646
- Fax
- (813) 643-1054
- NPI assigned
- Nov 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia Rendon
- Title
- President
- Phone
- (727) 580-7147
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
1106 N Parsons Ave
Brandon, FL 33510-3140
Mailing address
4706 Preston Woods Dr
Valrico, FL 33596-7873
Phone (813) 684-2646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 689611196 | Medicaid | FL |
Other names 1
- E Ted Bean & Associates
National Provider Directory
National Provider Directory- Tax ID family
- E Ted Bean Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Brandon, FL
- NPI 1104129659
Locations
1106 N Parsons Ave
Brandon, FL 33510
Phone (813) 684-2646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289174400000",
"number": "1841591807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4706 PRESTON WOODS DR",
"city": "VALRICO",
"state": "FL",
"postal_code": "335967873",
"telephone_number": "813-684-2646",
"fax_number": "813-643-1054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 N PARSONS AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335103140",
"telephone_number": "813-684-2646",
"fax_number": "813-643-1054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENDON SUPPORT SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-08",
"last_updated": "2010-11-08",
"status": "A",
"authorized_official_last_name": "RENDON",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-580-7147",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "689611196",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "E Ted Bean & Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.