SUSAN SUPPORT SERVICES
NPI 1700540481
Clinic/Center - Developmental Disabilities in Fort Myers, FL

Active since October 28, 2021
961 COCONUT DR, FORT MYERS, FL 33903(239) 362-5802 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Support Services NPPES

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

SUSAN SUPPORT SERVICES (NPI 1700540481) is a healthcare organization registered as a developmental disabilities in Fort Myers, Florida and active in the NPI registry since October 2021. The organization lists Susan Rachel Goins, Waiver Support Coordinator, as its authorized official.

NPPES Registry Identity

NPI1700540481
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameSUSAN SUPPORT SERVICES
Location Address961 COCONUT DRFort Myers, FL 33903-4201
Mailing Address961 Coconut DrFort Myers, FL 33903-4201 · (239) 362-5802
Organization SubpartNo
Authorized OfficialSusan Rachel GoinsWaiver Support Coordinator · (239) 362-5802
Enumeration DateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
NPI 1700540481 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.).
961 COCONUT DR, Fort Myers, FL 33903

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
961 COCONUT DR
NORTH FORT MYERS, FL 33903

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 Susan Support Services's NPI number?

The NPI number for Susan Support Services is 1700540481. It was assigned to this organization in the NPPES registry on October 28, 2021.

Where is Susan Support Services located?

Susan Support Services is located at 961 Coconut Dr, Fort Myers, FL 33903. The listed phone number is (239) 362-5802.

What is Susan Support Services'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 Susan Support Services was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.