Organization Active NPI

Synergy Support Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Washington, DC
National Provider Identifier
1881927200
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SYNERGY SUPPORT SERVICES LLC
Practice address
4914 B St SE
Washington, DC 20019-6259
Phone
(202) 641-6867
NPI assigned
Sep 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Donnica Danielle Scates
Title
Director
Phone
(202) 641-6867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

4914 B St SE
Washington, DC 20019-6259

Mailing address

4914 B St SE
Washington, DC 20019-6259
Phone (202) 641-6867

Other names 1

  • Blossom Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1881927200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 B ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200196259",
            "telephone_number": "202-641-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 B ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200196259",
            "telephone_number": "202-641-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "SCATES",
        "authorized_official_first_name": "DONNICA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-641-6867"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.