FIDELIS SUPPORT SERVICES LLC
NPI 1699082743
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Columbia, MO
About Fidelis Support Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FIDELIS SUPPORT SERVICES LLC (NPI 1699082743) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Columbia, Missouri and active in the NPI registry since September 2010. The organization lists Douglas L Edgar, Owner/qddp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Fidelis Support Services LLC's NPI number?
The NPI number for Fidelis Support Services LLC is 1699082743. It was assigned to this organization in the NPPES registry on September 10, 2010.
Where is Fidelis Support Services LLC located?
Fidelis Support Services LLC is located at 3905 Faurot Dr, Columbia, MO 65203. The listed phone number is (573) 424-4367.
What is Fidelis Support Services LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Fidelis Support Services LLC was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Fidelis Support Services Llc · NPI 1699082743
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Columbia, Missouri. Organization record, active in the CMS NPPES registry since September 10, 2010.
## Identity
- **NPI:** 1699082743 (Entity type: Organization)
- **Enumerated:** September 10, 2010
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Douglas Edgar, OWNER/QDDP
## Practice location
- **Address:** 3905 FAUROT DR, Columbia, MO 65203-0309
- **Phone:** (573) 424-4367
## Record status
- **NPPES last updated:** September 10, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1699082743) · Data from the CMS NPPES public registry.