Supportive Community Services, LLC.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SUPPORTIVE COMMUNITY SERVICES, LLC.

Practice address

5900 York Rd Ste 203
Baltimore, MD 21212-3040

Phone

(443) 803-2891

NPI assigned

Jan 10, 2023

Organization subpart

No

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

Authorized official

Name

Mr. John Gilbert Barnes Jr.

Title

Co-Ceo

Phone

(443) 803-2891

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1902510480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 YORK RD STE 203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123040",
            "telephone_number": "443-803-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 YORK RD STE 203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123040",
            "telephone_number": "443-803-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE COMMUNITY SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "443-803-2891",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Case Management Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.