Active NPI
Support Systems, Inc.
- Community/Behavioral Health Agency
- Bismarck, ND
National Provider Identifier
1902404957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SUPPORT SYSTEMS, INC.
- Practice address
- 600 S 2ND St Ste 105
Bismarck, ND 58504-5701 - Phone
- (701) 255-6503
- Fax
- (701) 255-1276
- NPI assigned
- Oct 13, 2020
- Last updated
- Jan 19, 2021
- 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
- Donald Wald
- Title
- Ceo
- Phone
- (701) 255-6503
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
600 S 2ND St Ste 105
Bismarck, ND 58504-5701
Mailing address
600 S 2ND St Ste 105
Bismarck, ND 58504-5701
Phone (701) 255-6503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1456245 | Medicaid | ND |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dwald@suppsys.com |
National Provider Directory
National Provider DirectoryLocations
600 S 2nd St
Ste 105
Bismarck, ND 58504
Phone (701) 255-6503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611014400000",
"number": "1902404957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S 2ND ST STE 105",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585045701",
"telephone_number": "701-255-6503",
"fax_number": "701-255-1276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S 2ND ST STE 105",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585045701",
"telephone_number": "701-255-6503",
"fax_number": "701-255-1276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPORT SYSTEMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-13",
"last_updated": "2021-01-19",
"certification_date": "2020-10-16",
"status": "A",
"authorized_official_last_name": "WALD",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "701-255-6503"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1456245",
"state": "ND"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dwald@suppsys.com",
"affiliation": "N",
"address_1": "600 S 2nd St Ste 105",
"city": "Bismarck",
"state": "ND",
"country_code": "US",
"postal_code": "585045701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.