Asg Support Services Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ASG SUPPORT SERVICES INC

Practice address

16501 Nikki LN
Odessa, FL 33556-6007

Phone

(813) 416-2190

Fax

(813) 475-4420

NPI assigned

Oct 20, 2016

Last updated

Oct 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sang Yool Suh

Title

Owner

Phone

(813) 453-6002

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1972054252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16501 NIKKI LN",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335566007",
            "telephone_number": "813-416-2190",
            "fax_number": "813-475-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16501 NIKKI LN",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335566007",
            "telephone_number": "813-416-2190",
            "fax_number": "813-475-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASG SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "YOOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-453-6002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010254400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.