Supportive Care Services, LLC

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Legal business name

SUPPORTIVE CARE SERVICES, LLC

Practice address

1100 Rock CRK Elem SCHL Dr
O Fallon, MO 63366-7577

Phone

(636) 379-9955

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Kirsten Pahde

Title

Manager

Phone

(636) 379-9955

Specialties & licenses 3

Addresses

Other names 1

• Right at Home Doing business as

Locations

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1942865183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ROCK CRK ELEM SCHL DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROCK CRK ELEM SCHL DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667577",
            "telephone_number": "636-379-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "PAHDE",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "636-379-9955"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose Elizabeth Sullivan, CRNA
• Jennifer Lynn Summers, CCC-SLP
• Kathryn R Summers, P.T.
• Mallory Summers
• Rylee Erin Sundquist
• Supreme Health Care LLC
• Surgassist, LLC
• Surgical Clinic Inc
• Surgical Supply Solutions
• David B Sutton, RNFA

• Nurse's Aide in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Nurse's Aide in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.