SUPPORTING PROVIDER SERVICES
NPI 1114393527
Respite Care - Respite Care, Physical Disabilities, Child in Oak Creek, WI

Active since August 19, 2015
8330 S WYNONA CT, OAK CREEK, WI 53154(262) 527-1282 Get Directions Write a Review

NPPES record last updated: August 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Supporting Provider Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPPORTING PROVIDER SERVICES (NPI 1114393527) is a healthcare organization registered as a respite care, physical disabilities, child in Oak Creek, Wisconsin and active in the NPI registry since August 2015. The organization lists Theresa Buford, Vocational Rehabilitation, as its authorized official.

NPPES Registry Identity

NPI1114393527
Entity TypeOrganization
Primary Taxonomy385HR2065X
Legal Business NameSUPPORTING PROVIDER SERVICES
Location Address8330 S WYNONA CTOak Creek, WI 53154-2740
Mailing Address8330 S Wynona CtOak Creek, WI 53154-2740 · (262) 527-1282
Organization SubpartNo
Authorized OfficialTheresa BufordVocational Rehabilitation · (262) 527-1282
Enumeration DateAugust 19, 2015
NPI 1114393527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRespite Care · Respite Care, Physical Disabilities, ChildRespite Care Facility
Taxonomy Code385HR2065X
Definition
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
8330 S WYNONA CT, Oak Creek, WI 53154

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supporting Provider Services's NPI number?

The NPI number for Supporting Provider Services is 1114393527. It was assigned to this organization in the NPPES registry on August 19, 2015.

Where is Supporting Provider Services located?

Supporting Provider Services is located at 8330 S Wynona Ct, Oak Creek, WI 53154. The listed phone number is (262) 527-1282.

What is Supporting Provider Services's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Physical Disabilities, Child, with taxonomy code 385HR2065X.

When was this NPI record last updated?

The NPPES record for Supporting Provider Services was last updated on August 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.