Supaid Community Resources, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUPAID COMMUNITY RESOURCES, INC.

Practice address

750 Jamestown Xing
Jonesboro, GA 30238-4384

Phone

(678) 610-7255

Fax

(678) 610-7255

NPI assigned

Oct 22, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Brenda A. Roberts, DDP

Title

Director/DDP

Phone

(678) 763-6722

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414195200000",
    "number": "1851795660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 JAMESTOWN XING",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384384",
            "telephone_number": "678-610-7255",
            "fax_number": "678-610-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 JAMESTOWN XING",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384384",
            "telephone_number": "678-610-7255",
            "fax_number": "678-610-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPAID COMMUNITY RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR/DDP",
        "authorized_official_telephone_number": "678-763-6722",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2014; 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.