NPIMap

Organization Active NPI

I & a Supporting Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Jacksonville, FL
National Provider Identifier
1861159923
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
I & A SUPPORTING SERVICES LLC
Practice address
8433 Southside Blvd Apt 406
Jacksonville, FL 32256-8467
Phone
(336) 908-1832
NPI assigned
Nov 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Ibrahim KoromaNPI 1750810156
Title
Owner
Phone
(336) 908-1832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

8433 Southside Blvd Apt 406
Jacksonville, FL 32256-8467

Mailing address

8433 Southside Blvd Apt 406
Jacksonville, FL 32256-8467
Phone (336) 908-1832

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1861159923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8433 SOUTHSIDE BLVD APT 406",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568467",
            "telephone_number": "336-908-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8433 SOUTHSIDE BLVD APT 406",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568467",
            "telephone_number": "336-908-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I & A SUPPORTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "KOROMA",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-908-1832"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.