SPECIALIZED SUPPORT SERVICES INC NPI 1275664609

NPI Information

NPI: 1275664609
Provider Name: SPECIALIZED SUPPORT SERVICES, INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1353 BUCHANAN AVE
SAINT JOSEPH, MO
ZIP 64501
Phone: (816) 279-9090
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SPECIALIZED SUPPORT SERVICES, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Saint Joseph, MO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SPECIALIZED SUPPORT SERVICES, INC NPI is 1275664609. The provider is registered as an organization entity type.

The provider's business location address is:

1353 BUCHANAN AVE
SAINT JOSEPH, MO
ZIP 64501-003
Phone: (816) 279-9090
Fax: (816) 279-9019

The provider's authorized official is Norma Donahoo .
The authorized official title is Ceo and has the following contact phone number (816) 279-9090.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 8/22/2020.

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
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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: 11/14/2023

NPI Synchronization or Removal

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