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SUPPORT INDEPENDENCE LLC
NPI 1982065454
Home Health in Florissant, MO

Active since March 11, 2016
625 LOYOLA DR, FLORISSANT, MO 63031(314) 504-1459 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Support Independence Llc NPPES

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

SUPPORT INDEPENDENCE LLC (NPI 1982065454) is a healthcare organization registered as a home health in Florissant, Missouri and active in the NPI registry since March 2016. The organization lists Timothy Shontez Macon, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1982065454
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSUPPORT INDEPENDENCE LLC
Location Address625 LOYOLA DRFlorissant, MO 63031-7231
Mailing Address625 Loyola DrFlorissant, MO 63031-7231 · (314) 504-1459
Phone(314) 504-1459
Organization SubpartNo
Authorized OfficialTimothy Shontez MaconCeo/owner · (314) 504-1459
Enumeration DateMarch 11, 2016
✔ NPI 1982065454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
625 LOYOLA DR, Florissant, MO 63031
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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 Support Independence LLC's NPI number?

The NPI number for Support Independence LLC is 1982065454. It was assigned to this organization in the NPPES registry on March 11, 2016.

Where is Support Independence LLC located?

Support Independence LLC is located at 625 Loyola Dr, Florissant, MO 63031. The listed phone number is (314) 504-1459.

What is Support Independence LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Support Independence LLC was last updated on March 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.