OUTSTANDING SUPPORT SERVICES OF TN NPI 1770161226

NPI Information

NPI: 1770161226
Provider Name: OUTSTANDING SUPPORT SERVICES OF TN
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
3905 WILDLEAF DR
MEMPHIS, TN
ZIP 38116
Phone: (901) 453-8838
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OUTSTANDING SUPPORT SERVICES OF TN is a community based residential treatment facility, intellectual and/or developmental disabilities in Memphis, TN. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. OUTSTANDING SUPPORT SERVICES OF TN NPI is 1770161226. The provider is registered as an organization entity type.

The provider's business location address is:

3905 WILDLEAF DR
MEMPHIS, TN
ZIP 38116-516
Phone: (901) 453-8838

The provider's authorized official is Angelique Vatoco Dilworth .
The authorized official title is Chief Executive Officer and has the following contact phone number (901) 453-8838.

The enumeration date for this NPI number is 3/29/2021 and was last updated on 3/29/2021.

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	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		No
2	3747A0650X	Technician	Attendant Care Provider	No
3	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: 5/5/2024

NPI Synchronization or Removal

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