Active NPI
Unique Support Services, Inc.
- Developmentally Disabled Services Day Training Agency
- Jacksonville, FL
National Provider Identifier
1891948055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 251C00000X
- Legal business name
- UNIQUE SUPPORT SERVICES, INC.
- Practice address
- 435 Clark Rd
Suite 310
Jacksonville, FL 32218-5596 - Phone
- (904) 534-2729
- NPI assigned
- Oct 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tanya Leiara Sutton
- Title
- President
- Phone
- (904) 534-2729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 251C00000X | FL | Primary |
Addresses
Primary practice location
435 Clark Rd
Suite 310
Jacksonville, FL 32218-5596
Mailing address
PO Box 9667
Jacksonville, FL 32208-0667
Phone (904) 534-2729
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 686236596 | Medicaid | FL | |
| 686236598 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
435 Clark Rd
Ste 310
Jacksonville, FL 32218
Phone (904) 534-2729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225324800000",
"number": "1891948055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9667",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322080667",
"telephone_number": "904-534-2729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 CLARK RD",
"address_2": "SUITE 310",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322185596",
"telephone_number": "904-534-2729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIQUE SUPPORT SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-30",
"last_updated": "2008-10-30",
"status": "A",
"authorized_official_last_name": "SUTTON",
"authorized_official_first_name": "TANYA",
"authorized_official_middle_name": "LEIARA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-534-2729",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "FL",
"license": "251C00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "686236596",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "686236598",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Steven Lee Undheim, IDC
- Steven Ung, MD
- Tia Hara Unger, MD, PHD
- Unique Kidz Academy, LLC
- Unique Support and Transportation Services LLC
- Uniquely Me Support Services, LLC
- United Harts Care Services LLC
- United Homemaker&Companionservice,Inc
- United Homemaker&Companionservice,Inc
- United Pain and Spine Institute LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.