TOTAL SUPPORT HEALTHCARE SERVICES
NPI 1689448979
Clinic/Center - Developmental Disabilities in Avondale, AZ

Active since November 08, 2023
12387 W GLENROSA AVE, AVONDALE, AZ 85392(623) 419-4001 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Developmental Disabilities

About TOTAL SUPPORT HEALTHCARE SERVICES

This page provides the complete NPI Profile along with additional information for Total Support Healthcare Services, a provider established in Avondale, Arizona operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1689448979 assigned on November 2023. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Ikechukwu 'ike' Igbokwe (Ceo/owner)

NPI
1689448979 Verify this NPI
Provider Name
TOTAL SUPPORT HEALTHCARE SERVICES
Entity Type
Organization
Location Address
12387 W GLENROSA AVE AVONDALE, AZ 85392
Location Phone
(623) 419-4001
Mailing Address
12387 W GLENROSA AVE AVONDALE, AZ 85392
Mailing Phone
(623) 419-4001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2023
Last Update Date
11-08-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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.).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

IKECHUKWU 'IKE' IGBOKWE

Authorized Official Title
CEO/OWNER
Authorized Official Phone
(623) 419-4001

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689448979, enumerated as an "organization" on November 08, 2023.

The provider is located at 12387 W GLENROSA AVE AVONDALE, AZ 85392 and the phone number is (623) 419-4001.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.