Organization Active NPI

Senior Support Services, Inc.

  • Case Management Agency
  • Hollywood, FL
National Provider Identifier
1932497880
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
SW7430 Issued in FL
Legal business name
SENIOR SUPPORT SERVICES, INC.
Practice address
6201 Wiley St
Hollywood, FL 33023-1846
Phone
(305) 244-8903
NPI assigned
Jul 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Lori Ann Cancio, LCSW
Title
President and Secretary
Phone
(305) 244-8903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X SW7430 FL Primary

Addresses

Primary practice location

6201 Wiley St
Hollywood, FL 33023-1846

Mailing address

6201 Wiley St
Hollywood, FL 33023-1846
Phone (305) 244-8903

Other identifiers 1

IdentifierTypeStateIssuer
1770878381OtherFLPERSONAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1932497880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 WILEY ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330231846",
            "telephone_number": "305-244-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 WILEY ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330231846",
            "telephone_number": "305-244-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "CANCIO",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "305-244-8903",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "SW7430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1770878381",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.