SUPPORT CARE LLC
NPI 1841156494
Nurse Practitioner - Psychiatric/Mental Health in Frederick, MD
About Support Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUPPORT CARE LLC (NPI 1841156494) is a healthcare organization registered as a psychiatric/mental health in Frederick, Maryland and active in the NPI registry since December 2025. The organization lists Renie Efuetngu Leke Tazisong, Pmhnp-pmh, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Support Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Support Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Support Care LLC's NPI number?
The NPI number for Support Care LLC is 1841156494. It was assigned to this organization in the NPPES registry on December 29, 2025.
Where is Support Care LLC located?
Support Care LLC is located at 5609 Pine Bluff Ct, Frederick, MD 21704. The listed phone number is (240) 765-5159.
What is Support Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Support Care LLC enrolled in Medicare?
Yes. Support Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Support Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Support Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Support Care LLC was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Support Care Llc · NPI 1841156494
Psychiatric/Mental Health organization in Frederick, Maryland. Organization record, active in the CMS NPPES registry since December 29, 2025.
## Identity
- **NPI:** 1841156494 (Entity type: Organization)
- **Enumerated:** December 29, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Renie Tazisong, PMHNP-PMH
## Practice location
- **Address:** 5609 PINE BLUFF CT, Frederick, MD 21704-6894
- **Phone:** (240) 765-5159
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1841156494) · Data from the CMS NPPES public registry.