Supportive Services,LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

0516064 Issued in TN

Legal business name

SUPPORTIVE SERVICES,LLC

Practice address

5440 Jernigan Dr
Somerville, TN 38068-6338

Phone

(901) 465-6474

Fax

(901) 465-6147

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Rosie M Kee, RN

Title

Adminstrator

Phone

(901) 465-6474

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1871610436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 JERNIGAN DR",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380686338",
            "telephone_number": "901-465-6474",
            "fax_number": "901-465-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 JERNIGAN DR",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380686338",
            "telephone_number": "901-465-6474",
            "fax_number": "901-465-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "KEE",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "901-465-6474",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TN",
            "license": "0516064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445040",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Sowell, FNP-C
• SS Holdings, LLC
• State of Tennessee (Fayette County Health Department)
• Steven Zambrano, DDS, PLLC (Somerville Dental Care)
• Marie Middlecoff Stevens, DPH
• Tennessee Community & Court Services Inc
• Virginia Shaun Terry
• Patricia J Tharp, CRNA
• Vickie S Thompson
• Top Flight Medical Group

• Case Management Agency in Somerville, TN
• Providers in Somerville, TN by specialty
• Case Management Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.