ADVANCE SUPPORT LLC – NPI #1598442212
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

ADVANCE SUPPORT LLC is a community based residential treatment facility located in FORNEY, TX. NPPES has assigned the NPI number 1598442212 to ADVANCE SUPPORT LLC on July 04, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 3 years ago on Jul 05, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCE SUPPORT LLC below.

NPI Profile for
ADVANCE SUPPORT LLC

NPI Number
1598442212
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCE SUPPORT LLC
Primary location
972 GOLD FINCH LN
FORNEY, TX 75126-2340
Phone: (225) 938-6657 Fax:
Mailing address
300 8TH ST SE UNIT 472
ALTOONA, IA 50009-7012
Phone: Fax:
Organization Subpart
No
Authorized Official
MOTIA DIOKE ELVIS
CEO
Phone: (225) 938-6657
Updated
Certification Date
Jul 05, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.