SUPPORTIVE SERVICES,LLC (NPI# 1871610436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871610436 |
| Entity Type | Organization |
| Organization Name | SUPPORTIVE SERVICES,LLC |
| Practice Address |
5440 Jernigan Dr Somerville TN 38068-6338 |
| Practice Telephone | 9014656474 |
| Practice Fax Number | 9014656147 |
| Mailing Telephone | 9014656474 |
| Mailing Fax Number | 9014656147 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-09-22 |
| Authorized Official Name | MRS. ROSIE M KEE (ADMINSTRATOR) |
| Authorized Official Telephone | 9014656474 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 0516064 | TN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | H445040 | 05 |
| Street Address |
5440 JERNIGAN DR |
| City | SOMERVILLE |
| State | TN |
| Zip Code | 38068-6338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063850477 | Paula Lenore Walker | Nurse Practitioner | 25 Woodbridge, Suite A, Somerville, TN 38068 | 2013-06-07 |
| 1902026107 | Alliance Health Services, Inc | Home Health | 201 Lakeview Dr, Suite B, Somerville, TN 38068 | 2007-04-27 |
| 1730239997 | State of Tennessee | Public Health or Welfare | 90 Yum Yum Road, Somerville, TN 38068 | 2007-01-11 |
| 1366514697 | Cynthia D Elder | Pharmacy Technician | 13092 North Main Street, Summerville, TN 38068 | 2006-11-14 |
| 1275612053 | Bessie M Hoskins | Pharmacy Technician | 13092 North Main, Somerville, TN 38068 | 2006-11-03 |
| 1245319797 | Deborah Louise Davis | Pharmacy Technician | 8885 La Grange Rd, Somerville, TN 38068 | 2006-11-03 |
| 1891876868 | John David Cima | Dentist | 13190 N. Main St, Somerville, TN 38068 | 2006-10-18 |
| 1750478277 | Marie Middlecoff Stevens | Pharmacist | 13092 N Main Street, Super Drugs, Somerville, TN 38068 | 2006-10-06 |
| 1588675276 | Wilder Clinic | Family Medicine | 201 Lake View, Ste A Wilder Clinic, Sunerville, TN 38068 | 2006-08-10 |
| 1588687644 | Freds Stores of Tennessee Inc | Pharmacy | Highway 64 West, Somerville, TN 38068 | 2006-07-26 |
| Find all providers in zip 38068 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841433091 | Deriviere Medical Corporation | Case Management | 156 Highland Ave, Somerville, MA 02143-1534 | 2009-04-16 |
| 1487776100 | Somerset County Board of Social Services | Case Management | 73 E High St, Somerville, NJ 08876-2311 | 2007-04-04 |
| 1851422661 | Commonwealth of Mass-dds | Case Management | 225 Elm St, Suite 205, Somerville, MA 02144-2918 | 2007-03-07 |
| 1992362917 | Eihab Human Services New Jersey, Inc. | Case Management | 35 Grant Ave, Somerville, NJ 08876-2510 | 2019-05-24 |
| 1548501208 | Somerville Homeless Coalition | Case Management | 1 Davis Sq, Somerville, MA 02144-2904 | 2013-03-06 |
| 1538409784 | Somerville Homeless Coalition | Case Management | 1 Davis Sq, Basement Level, Somerville, MA 02144-2904 | 2013-02-26 |
| 1578707980 | Somerville-cambridge Elder Services | Case Management | 61 Medford St, Room 330 Executive Director, Somerville, MA 02143-3421 | 2009-04-29 |
| 1891815007 | Somerset County Office On Aging | Case Management | 92 E Main St, Somerville, NJ 08876-2319 | 2007-03-30 |
| 1154455020 | Somerville Cambridge Elder Services | Case Management | 61 Medford St, Somerville, MA 02143-3429 | 2007-03-15 |
| 1508990490 | Somerville Cambridge Elder Services | Case Management | 61 Medford St, Somerville, MA 02143-3429 | 2007-03-15 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 38068 |
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| 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.