Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AVANTA SUPPORT SERVICES INC
NPI 1770488157
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Randallstown, MD

Q: What is Avanta Support Services Inc's NPI number?

The NPI number for Avanta Support Services Inc is 1770488157. It was assigned to this organization in the NPPES registry on October 14, 2026.

Q: What is Avanta Support Services Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since October 14, 2026

4105 KIWI CT, RANDALLSTOWN, MD 21133(631) 933-5682 Get Directions Write a Review

NPPES record added: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Avanta Support Services Inc NPPES

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

AVANTA SUPPORT SERVICES INC (NPI 1770488157) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Randallstown, Maryland and active in the NPI registry since October 2026. The organization lists Chizoba Emmanuel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770488157

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameAVANTA SUPPORT SERVICES INC

Location Address4105 KIWI CTRandallstown, MD 21133-4059

Mailing Address4105 Kiwi CtRandallstown, MD 21133-4059

Phone(631) 933-5682

Organization SubpartNo

Authorized OfficialChizoba EmmanuelCeo · (631) 933-5682

Enumeration DateOctober 14, 2026

NPPES CertifiedOctober 14, 2026

✔ NPI 1770488157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X

Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X

4105 KIWI CT, Randallstown, MD 21133

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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 Avanta Support Services Inc's NPI number?

The NPI number for Avanta Support Services Inc is 1770488157. It was assigned to this organization in the NPPES registry on October 14, 2026.

Where is Avanta Support Services Inc located?

Avanta Support Services Inc is located at 4105 Kiwi Ct, Randallstown, MD 21133. The listed phone number is (631) 933-5682.

What is Avanta Support Services Inc'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 Avanta Support Services Inc was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.