Provider Demographics
NPI:1578698551
Name:INDIVIDUAL SUPPORT SYSTEMS, INC.
Entity Type:Organization
Organization Name:INDIVIDUAL SUPPORT SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:STIFFLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-228-9443
Mailing Address - Street 1:3615 SW 29TH ST
Mailing Address - Street 2:STE 201
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-2077
Mailing Address - Country:US
Mailing Address - Phone:785-228-9443
Mailing Address - Fax:785-228-9640
Practice Address - Street 1:3615 SW 29TH ST
Practice Address - Street 2:STE 201
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-2077
Practice Address - Country:US
Practice Address - Phone:785-228-9443
Practice Address - Fax:785-228-9640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered251B00000XAgenciesCase Management
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered251E00000XAgenciesHome Health
Not Answered3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty