SUPREME SUPPORT SERVICES, LLC. (NPI# 1073906582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073906582 |
| Entity Type | Organization |
| Organization Name | SUPREME SUPPORT SERVICES, LLC. |
| Practice Address |
220 N Main St Ste 500 Greenville SC 29601-2129 |
| Practice Telephone | 8039799014 |
| Mailing Telephone | 8039799014 |
| Enumeration Date | 2015-03-08 |
| Last Update Date | 2015-03-08 |
| Authorized Official Name | MR. WOODROW MENTAR JR. (MANAGING PARTNER) |
| Authorized Official Telephone | 8039799014 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
220 N MAIN ST STE 500 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29601-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205078383 | Robin L Holtman | Registered Nurse | 220 N Main St Ste 500, Greenville, SC 29601-2129 | 2009-04-03 |
| 1255958542 | Sage Door Counseling & Consulting LLC | Social Worker | 220 N Main St Ste 500, Greenville, SC 29601-2129 | 2020-07-02 |
| 1568088714 | Cheryl L Huber | Social Worker | 220 N Main St Ste 500, Greenville, SC 29601-2129 | 2020-06-23 |
| 1134609209 | Erin Scheuer Saari | Nurse Practitioner | 220 N Main St Ste 500, Greenville, SC 29601 | 2018-08-18 |
| 1992214639 | Rebecca Nicole Helton | Nurse Practitioner | 220 N Main St Ste 500, Greenville, SC 29601 | 2017-09-26 |
| 1285153106 | Kenderic Hooks | Respiratory Therapist, Registered | 220 N Main St Ste 500, Greenville, SC 29601-2129 | 2017-09-12 |
| 1659755585 | Pamela Sisk | Nurse Practitioner | 220 N Main St Ste 500, Greenville, SC 29601-2129 | 2015-07-09 |
| 1609280023 | Kari Lee Bradford | Nurse Practitioner | 220 N Main St Ste 500, Greenville, SC 29601-2129 | 2014-06-13 |
| 1497184972 | Donita L Vade Od LLC | Optometrist | 220 N Main St Ste 500, Greenville, SC 29601-2129 | 2013-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700305620 | True Sleep Diagnostics | Clinic/Center | 220 North Main St Ste 500, Pmb 104, Greenville, SC 29601 | 2017-09-12 |
| 1245786813 | Yvette Ombougno | Registered Nurse | 200 University Ridge, Greenville, SC 29601 | 2016-09-01 |
| 1477921823 | Laura Gore Siefert | Registered Nurse | 1 Saint Francis Drive, Greenville, SC 29601 | 2015-09-02 |
| 1821493826 | Sarah Fuller | Counselor | 602 Pettigru St, Greenville, SC 29601 | 2014-11-03 |
| 1689088932 | Chenille Taylor | Nurse Practitioner | 201 N. Main Street, Greenville, SC 29601 | 2014-06-15 |
| 1861827842 | Caritas Counseling Services LLC | Community/Behavioral Health | 111 Hampton Avenue, St Mary's Catholic Church, Greenville, SC 29601 | 2013-09-09 |
| 1568790335 | Lynn A. Victory | Counselor | 710 Pettigru Street, The Cottage, Greenville, SC 29601 | 2009-12-06 |
| 1386971448 | Lisa Speach | Nurse Practitioner | 3 St. Francis Drive, Suite 300, Greenville, SC 29601 | 2009-11-11 |
| 1851528418 | Adam Shawn Riffle | Specialist/Technologist | 175 Patewood Drive, Greenville, SC 29601 | 2009-06-22 |
| 1114178332 | Margaret W. Lee | Psychologist | 412 Pettigru St., Suite C, Greenville, SC 29601 | 2008-10-07 |
| Find all providers in zip 29601 | ||||
| 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] |
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| 1114549532 | Uniquely Me LLC | Community/Behavioral Health | 2409 Charles Blvd, Greenville, NC 27858-5925 | 2020-05-07 |
| 1043841406 | Gibbs Treatment Solutions | Community/Behavioral Health | 8757 Rufing Rd, Greenville, IN 47124-9649 | 2020-02-03 |
| 1558911677 | Positive Innergy Medical Group | Community/Behavioral Health | 26 Potomac Ave, Greenville, SC 29605-2118 | 2019-09-19 |
| 1831651850 | Nick Comai, LLC | Community/Behavioral Health | 1202 Tamarack Ct, Greenville, MI 48838-2597 | 2019-04-01 |
| 1285111906 | Cornerstone Senior Care and Assisted Living,llc | Community/Behavioral Health | 3900 Joe Ramsey Blvd E Bldg 10a, Greenville, TX 75401-7727 | 2018-07-25 |
| 1295234565 | Krystle Shields | Community/Behavioral Health | 3116 Noah Ct, Greenville, NC 27834-6239 | 2018-02-01 |
| 1639697642 | Stigma Inc. | Community/Behavioral Health | 815 E Butler Rd Apt 228, Greenville, SC 29607-5870 | 2017-08-30 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| 1821514266 | Idella Care Homes | Community/Behavioral Health | 870 Spring Forest Rd, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29601 |
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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.