Organization Active NPI

Supportive Family Services, LLC

  • Case Management Agency
  • Orlando, FL
National Provider Identifier
1992138085
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SUPPORTIVE FAMILY SERVICES, LLC
Practice address
5205 S Orange Ave Ste 206
Orlando, FL 32809-3067
Phone
(407) 900-5181
Fax
(407) 459-8173
NPI assigned
Aug 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Fatima L RodgersNPI 1104253145
Title
Ceo/President
Phone
(407) 900-5181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

5205 S Orange Ave Ste 206
Orlando, FL 32809-3067

Mailing address

5205 S Orange Ave Ste 206
Orlando, FL 32809-3067
Phone (407) 900-5181

National Provider Directory

National Provider Directory

Locations

5205 S Orange Ave
Ste 206
Orlando, FL 32809
Phone (407) 900-5181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1992138085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 S ORANGE AVE STE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328093067",
            "telephone_number": "407-900-5181",
            "fax_number": "407-459-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 S ORANGE AVE STE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328093067",
            "telephone_number": "407-900-5181",
            "fax_number": "407-459-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "407-900-5181"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.