Home Care Support Plus LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOME CARE SUPPORT PLUS LLC

Practice address

9111 Cross Park Dr Ste 236
Knoxville, TN 37923-4506

Phone

(412) 260-5655

Fax

(412) 229-8764

NPI assigned

Sep 6, 2024

Organization subpart

No

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

Authorized official

Name

Julien Niyogushima

Title

Owner

Phone

(412) 260-5655

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1871328971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 CROSS PARK DR STE 236",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234506",
            "telephone_number": "412-260-5655",
            "fax_number": "412-229-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 CROSS PARK DR STE 236",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234506",
            "telephone_number": "412-260-5655",
            "fax_number": "412-229-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE SUPPORT PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "NIYOGUSHIMA",
        "authorized_official_first_name": "JULIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-260-5655"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.