ENHANCED SUPPORT SERVICES NPI 1093231722

NPI Information

  • NPI: 1093231722
  • Provider Name: ENHANCED SUPPORT SERVICES
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 2882 BOONES CREEK RD
    JOHNSON CITY, TN
    ZIP 37615
  • Phone: (423) 631-0336

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NPI Details

ENHANCED SUPPORT SERVICES is a residential treatment facility, intellectual and/or developmental disabilities in Johnson City, TN. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. ENHANCED SUPPORT SERVICES NPI is 1093231722. The provider is registered as an organization entity type.

The provider's business location address is:

2882 BOONES CREEK RD
JOHNSON CITY, TN
ZIP 37615-655
Phone: (423) 631-0336
Fax: (423) 631-0339

The provider's authorized official is Lisa Banner-poff .
The authorized official title is Director and has the following contact phone number (423) 631-0336.

The enumeration date for this NPI number is 8/15/2017 and was last updated on 8/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities14965TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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