Provider Demographics
NPI:1790058733
Name:SUPPORT UNLIMITED, INC.
Entity Type:Organization
Organization Name:SUPPORT UNLIMITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PADGETT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:407-625-8228
Mailing Address - Street 1:PO BOX 608503
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32860-8503
Mailing Address - Country:US
Mailing Address - Phone:407-625-8228
Mailing Address - Fax:407-289-8801
Practice Address - Street 1:6249 EDGEWATER DRIVE
Practice Address - Street 2:V1, STE. 7
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-3281
Practice Address - Country:US
Practice Address - Phone:407-625-8228
Practice Address - Fax:407-289-8801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251G00000XAgenciesHospice Care, Community Based
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty