FAMILYTIES SUPPORT SERVICES, LLC


Address: 1120 Silas Dr Sw Apt 1406, Live Oak, FL 32064-2969
Phone: 8134827962

FAMILYTIES SUPPORT SERVICES, LLC (NPI# 1003352352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003352352
Entity Type Organization
Organization Name FAMILYTIES SUPPORT SERVICES, LLC
Practice Address 1120 Silas Dr Sw Apt 1406
Live Oak
FL 32064-2969
Practice Telephone 8134827962
Practice Fax Number 8134152266
Mailing Telephone 8134827962
Mailing Fax Number 8134152266
Enumeration Date 2017-01-10
Last Update Date 2017-01-10
Authorized Official Name MS. LORIS TUCKER (PARTNER/DIRECTOR)
Authorized Official Telephone 8134827962
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251C00000X Day Training, Developmentally Disabled Services 015600300 FL Agencies

Other Provider Identifier

State Issuer Identifier Type Code
FL 015717400 05

Office Location

Street Address 1120 SILAS DR SW APT 1406
City LIVE OAK
State FL
Zip Code 32064-2969

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Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114528361 Where The Heart Is Home Care Services LLC Day Training, Developmentally Disabled Services 110 E Broad St Apt 204, Tampa, FL 33604-4132 2020-11-04
1801496674 Brandon Martinez Day Training, Developmentally Disabled Services 1884 Sw 81st Way, Davie, FL 33324-4609 2020-10-29
1639779721 The Unique Way LLC Day Training, Developmentally Disabled Services 1025 S Ohio Ave Apt 15, Lakeland, FL 33803-1283 2020-10-28
1821696394 Devotion of Care LLC Day Training, Developmentally Disabled Services 1801 Nw 3rd St, Pompano Beach, FL 33069-2756 2020-10-15
1538767298 Healthy Group Home Project, LLC. Day Training, Developmentally Disabled Services 849 Mulberry Ave, Panama City, FL 32401-2556 2020-10-15
1902404742 Brite Life Adult Training Program, LLC Day Training, Developmentally Disabled Services 1300 Nw 95th St, Miami, FL 33147-3320 2020-10-14
1134727845 Four Seasons Aba Day Training, Developmentally Disabled Services 6 Meridian Home Ln, Palm Coast, FL 32137-2402 2020-10-14
1760089429 Helping Angels Thrive, Inc. Day Training, Developmentally Disabled Services 305 Providence Rd Apt 101, Brandon, FL 33511-4739 2020-10-06
1245847268 Joshua R Grant Day Training, Developmentally Disabled Services 2405 Almeda St, Jacksonville, FL 32209-4632 2020-09-24
1417562257 Peace of Mind Home Care Services Day Training, Developmentally Disabled Services 1102 Ray Charles Blvd Unit 314, Tampa, FL 33602-3050 2020-09-09
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Competitor

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City LIVE OAK
Zip Code 32064

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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