Organization Active NPI

Unique Support Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Jacksonville, FL
National Provider Identifier
1891948055
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
251C00000X Issued in FL
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

Updated by the provider on Oct 30, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
686236596MedicaidFL
686236598MedicaidFL

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.