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Active NPI 1104556588 Organization (Entity Type 2) Subpart Facility

Purpose Driven Support Services

Community/Behavioral Health • Mcdowell, KY

Parent Organization: Purpose Driven Support Services, Llc

About Purpose Driven Support Services NPI 1104556588 Summary

Purpose Driven Support Services is a verified healthcare organization specializing in Community/Behavioral Health operating in Mcdowell, KY. Located at 9575 KY ROUTE 122, this facility provides patient care and medical services under National Provider Identifier (NPI) 1104556588.

Purpose Driven Support Services operates as a subpart facility of Purpose Driven Support Services, Llc. Administrative operations and authorized compliance are overseen by Samantha Stumbo (Owner).

Facility Location & Contact Primary Location

Facility Address

9575 Ky Route 122

Mcdowell, KY 416474164

Telephone 6063590700

Authorized Official Information

Authorized Contact Name

Samantha Stumbo

Title / Role

Owner

Official Telephone

6063590700

Facility Classifications & Specialties

Community/Behavioral Health Primary Taxonomy

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Case Management

NUCC Taxonomy Code: 251B00000X

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Day Training, Developmentally Disabled Services

NUCC Taxonomy Code: 251C00000X

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active June 16, 2022

NPI status registered as active in NPPES database

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Updated Practice Location June 16, 2022

Registered at 9575 KY ROUTE 122, MCDOWELL, KY 416474164 (Tel: 6063590700)

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Updated Business Mailing Address June 16, 2022

Registered at PO BOX 41, MC DOWELL, KY 416470041 (Tel: 6069491623)

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Organization / Clinic Name Updated June 16, 2022

Operating as PURPOSE DRIVEN SUPPORT SERVICES

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2022

Day Training, Developmentally Disabled Services

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Initial NPI Registration & Enumeration June 16, 2022

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1104556588
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 16, 2022
Last Update: March 01, 2023

Mailing Address

Po Box 41

Mc Dowell, KY 416470041

Phone: 6069491623

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.