COUNTYLINE SUPPORT SERVICES CORP
NPI 1265911531
Clinic/Center - Developmental Disabilities in Pembroke Pines, FL

Q: What is Countyline Support Services Corp's NPI number?

The NPI number for Countyline Support Services Corp is 1265911531. It was assigned to this organization in the NPPES registry on August 8, 2018.

Q: What is Countyline Support Services Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Active since August 08, 2018

2114 N FLAMINGO RD # 166, PEMBROKE PINES, FL 33028(954) 632-9891 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Countyline Support Services Corp NPPES

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

COUNTYLINE SUPPORT SERVICES CORP (NPI 1265911531) is a healthcare organization registered as a developmental disabilities in Pembroke Pines, Florida and active in the NPI registry since August 2018. The organization lists Mauva Angela Munford, Owner, as its authorized official.

NPPES Registry Identity

NPI1265911531

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameCOUNTYLINE SUPPORT SERVICES CORP

Location Address2114 N FLAMINGO RD # 166Pembroke Pines, FL 33028-3501

Mailing Address2114 N Flamingo Rd # 166Pembroke Pines, FL 33028-3501 · (954) 632-9891

Phone(954) 632-9891

Organization SubpartNo

Authorized OfficialMauva Angela MunfordOwner · (954) 632-9891

Enumeration DateAugust 8, 2018

✔ NPI 1265911531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

2114 N FLAMINGO RD # 166, Pembroke Pines, FL 33028

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Other Identifiers 1

Medicaid100207900FL

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 Countyline Support Services Corp's NPI number?

The NPI number for Countyline Support Services Corp is 1265911531. It was assigned to this organization in the NPPES registry on August 8, 2018.

Where is Countyline Support Services Corp located?

Countyline Support Services Corp is located at 2114 N Flamingo Rd # 166, Pembroke Pines, FL 33028. The listed phone number is (954) 632-9891.

What is Countyline Support Services Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Countyline Support Services Corp was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.