SPECIALIZED SUPPORT SERVICES, INC (NPI# 1427189687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427189687 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED SUPPORT SERVICES, INC |
| Practice Address |
50 Northcrest Dr Council Bluffs IA 51503-1622 |
| Mailing Address |
1353 Buchanan Ave Saint Joseph MO 64501-2003 |
| Practice Telephone | 7123239824 |
| Practice Fax Number | 7123230711 |
| Mailing Telephone | 8162799090 |
| Mailing Fax Number | 8162799019 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. NORMA DONAHOO (CEO) |
| Authorized Official Telephone | 8162799090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1253211 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114058971 | Specialized Support Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1353 Buchanan Ave, Saint Joseph, MO 64501-2003 | 2007-03-07 |
| 1194843227 | Specialized Support Services, Inc | Community/Behavioral Health | 50 Northcrest Dr, Council Bluffs, IA 51503-1622 | 2007-03-27 |
| 1952432379 | Specialized Support Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1353 Buchanan Ave, Saint Joseph, MO 64501-2003 | 2007-03-08 |
| 1275664609 | Specialized Support Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1353 Buchanan Ave, Saint Joseph, MO 64501-2003 | 2007-03-08 |
| 1508997941 | Specialized Support Services, Inc | Non-emergency Medical Transport (VAN) | 1353 Buchanan Ave, Saint Joseph, MO 64501-2003 | 2007-03-08 |
| 1639200066 | Specialized Support Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1353 Buchanan Ave, Saint Joseph, MO 64501-2003 | 2007-03-08 |
| 1821129032 | Specialized Support Services, Inc | Non-emergency Medical Transport (VAN) | 50 Northcrest Dr, Council Bluffs, IA 51503-1622 | 2007-03-08 |
| 1346371861 | Specialized Support Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1353 Buchanan Ave, Saint Joseph, MO 64501-2003 | 2007-03-08 |
| 1790816247 | Specialized Support Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1353 Buchanan Ave, Saint Joseph, MO 64501-2003 | 2007-03-08 |
| 1659402113 | Specialized Support Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1353 Buchanan Ave, Saint Joseph, MO 64501-2003 | 2007-03-08 |
| Street Address |
50 NORTHCREST DR |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194843227 | Specialized Support Services, Inc | Community/Behavioral Health | 50 Northcrest Dr, Council Bluffs, IA 51503-1622 | 2007-03-27 |
| 1821129032 | Specialized Support Services, Inc | Non-emergency Medical Transport (VAN) | 50 Northcrest Dr, Council Bluffs, IA 51503-1622 | 2007-03-08 |
| 1992836159 | Specialized Support Services, Inc | Community/Behavioral Health | 50 Northcrest Dr, Council Bluffs, IA 51503-1622 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568997179 | Ameriserve International of Nebraska, Inc. | Community/Behavioral Health | 35 Main Pl Ste 300, Council Bluffs, IA 51503-0702 | 2017-04-21 |
| 1396818936 | Family Ties, Inc. | Community/Behavioral Health | 700 Grace St, Council Bluffs, IA 51503-4974 | 2006-11-15 |
| 1407267305 | Wise Mind Practice LLC | Community/Behavioral Health | 427 E Kanesville Blvd, Suite 305, Council Bluffs, IA 51503-9079 | 2014-05-13 |
| 1194843227 | Specialized Support Services, Inc | Community/Behavioral Health | 50 Northcrest Dr, Council Bluffs, IA 51503-1622 | 2007-03-27 |
| 1992836159 | Specialized Support Services, Inc | Community/Behavioral Health | 50 Northcrest Dr, Council Bluffs, IA 51503-1622 | 2007-03-08 |
| 1215067848 | Christian Home Association-children's Square U.S.A. | Community/Behavioral Health | North 6th & Ave E, Council Bluffs, IA 51502-3008 | 2007-03-06 |
| 1255477675 | Christian Home Association-children's Square U.S.A. | Community/Behavioral Health | North 6th & Ave E, Council Bluffs, IA 51502-3008 | 2007-01-30 |
| 1962550145 | Therapyworks, Inc. | Community/Behavioral Health | 500 Willow Ave, Suite 201, Council Bluffs, IA 51503-0827 | 2007-01-06 |
| 1023175411 | Visinet of Iowa, Inc. | Community/Behavioral Health | 523 S Main St, Council Bluffs, IA 51503-6508 | 2007-01-03 |
| 1689757957 | Choices Counseling and Consulting, Inc. | Community/Behavioral Health | 300 W Broadway, Suite 107, Council Bluffs, IA 51503-9045 | 2006-10-23 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on SPECIALIZED SUPPORT SERVICES, INC.
| 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.