Provider Demographics
NPI:1093599052
Name:TAPPE & SANCHEZ SUPPORT SERVICES, LLC
Entity Type:Organization
Organization Name:TAPPE & SANCHEZ SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:SAMI JO
Authorized Official - Middle Name:TUHN
Authorized Official - Last Name:TAPPE
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:515-745-5448
Mailing Address - Street 1:7044 CAREY CT
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2407
Mailing Address - Country:US
Mailing Address - Phone:515-745-5448
Mailing Address - Fax:515-864-0320
Practice Address - Street 1:7044 CAREY CT
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-2407
Practice Address - Country:US
Practice Address - Phone:515-745-5448
Practice Address - Fax:515-864-0320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAX000710172Medicaid