SUPPORT CARE LLC
NPI 1841156494
Nurse Practitioner - Psychiatric/Mental Health in Frederick, MD

Q: 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.

Q: 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.

Q: 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 7 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.

Active since December 29, 2025

5609 PINE BLUFF CT, FREDERICK, MD 21704(240) 765-5159 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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

NPI1841156494

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameSUPPORT CARE LLC

Location Address5609 PINE BLUFF CTFrederick, MD 21704-6894

Mailing Address5609 Pine Bluff CtFrederick, MD 21704-6894 · (240) 765-5159

Phone(240) 765-5159

Organization SubpartNo

Authorized OfficialRenie Efuetngu Leke TazisongPmhnp-pmh · (240) 765-5159

Enumeration DateDecember 29, 2025

NPPES CertifiedDecember 28, 2025

✔ NPI 1841156494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

5609 PINE BLUFF CT, Frederick, MD 21704

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

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 7 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.