SUPPORTIVE SPACES ADULT CARE LLC
NPI 1275371015
Assisted Living Facility - Assisted Living, Mental Illness in Zebulon, NC

Q: What is Supportive Spaces Adult Care LLC's NPI number?

The NPI number for Supportive Spaces Adult Care LLC is 1275371015. It was assigned to this organization in the NPPES registry on July 16, 2024.

Q: What is Supportive Spaces Adult Care LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since July 16, 2024

116 MORGAN DR, ZEBULON, NC 27597(919) 671-1989 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Supportive Spaces Adult Care Llc NPPES

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

SUPPORTIVE SPACES ADULT CARE LLC (NPI 1275371015) is a healthcare organization registered as an assisted living, mental illness in Zebulon, North Carolina and active in the NPI registry since July 2024. The organization lists Deshon Wise, Director, as its authorized official.

NPPES Registry Identity

NPI1275371015

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameSUPPORTIVE SPACES ADULT CARE LLC

Location Address116 MORGAN DRZebulon, NC 27597-5959

Mailing Address1513 Parks Village RdZebulon, NC 27597-9580 · (919) 671-1989

Phone(919) 671-1989

Organization SubpartNo

Authorized OfficialDeshon WiseDirector · (919) 671-1989

Enumeration DateJuly 16, 2024

Last NPPES UpdateJuly 17, 2024

NPPES CertifiedJuly 17, 2024

✔ NPI 1275371015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X

116 MORGAN DR, Zebulon, NC 27597

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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 Supportive Spaces Adult Care LLC's NPI number?

The NPI number for Supportive Spaces Adult Care LLC is 1275371015. It was assigned to this organization in the NPPES registry on July 16, 2024.

Where is Supportive Spaces Adult Care LLC located?

Supportive Spaces Adult Care LLC is located at 116 Morgan Dr, Zebulon, NC 27597. The listed phone number is (919) 671-1989.

What is Supportive Spaces Adult Care LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Supportive Spaces Adult Care LLC was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.