NPIMap

Organization Active NPI

Specialized Support Services, Inc

  • Community/Behavioral Health Agency
  • Council Bluffs, IA
National Provider Identifier
1992836159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPECIALIZED SUPPORT SERVICES, INC
Practice address
50 Northcrest Dr
Council Bluffs, IA 51503-1622
Phone
(712) 323-9824
Fax
(712) 323-0711
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Norma Donahoo
Title
Ceo
Phone
(816) 279-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

50 Northcrest Dr
Council Bluffs, IA 51503-1622

Mailing address

1353 Buchanan Ave
Saint Joseph, MO 64501-2003
Phone (816) 279-9090

Other identifiers 1

IdentifierTypeStateIssuer
0253211MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Specialized Support Services Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992836159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 BUCHANAN AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012003",
            "telephone_number": "816-279-9090",
            "fax_number": "816-279-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NORTHCREST DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031622",
            "telephone_number": "712-323-9824",
            "fax_number": "712-323-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED SUPPORT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONAHOO",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-279-9090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0253211",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.