Supplemental Support Care Services Llc

LBN: Supplemental Support Care Services Llc
Supplemental Support Care Services Llc is an health care organization with primary practice located at 8180 Pensacola Blvd Ste 215 , Pensacola FL 32534-4354. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Supplemental Support Care Services Llc can be contacted via phone (850) 346-1780, or through Crenshaw, Gabrielle D via phone (850) 293-6488.

Contact Information

Primary practice address
8180 Pensacola Blvd Ste 215 Pensacola FL 32534-4354
Phone: (850) 346-1780
Fax: (850) 285-0209
Website:
Map and Directions
Authorized official contact:
Name: Crenshaw, Gabrielle D
Phone: (850) 293-6488

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1669132171
LBN Legal business name Supplemental Support Care Services Llc
DBA Doing business as
Authorized official Crenshaw, Gabrielle D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2021
Last updated Dec 23rd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669132171 NPPES
Florida MEDICAID 111228300

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