SUPPORTIVE LIVING SERVICES, INC. – Community/Behavioral Health Agency, NPI 1346374063

SUPPORTIVE LIVING SERVICES, INC. is a healthcare provider. based in Brooklyn center, Minnesota. specializing in Community/Behavioral Health Agency. The NPI Number for SUPPORTIVE LIVING SERVICES, INC. is 1346374063

Main info

Organization
Name
SUPPORTIVE LIVING SERVICES, INC.
NPI
1346374063
Phone
(763) 537-6612
Address
5615 BROOKLYN BLVD STE 200
Authorized Official
DIANE M OLLENDICK WRIGHT EXECUTIVE DIRECTOR LICSW
Enumeration Date
15 March 2007
Last Update Date
24 May 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for SUPPORTIVE LIVING SERVICES, INC.

  • 5615 BROOKLYN BLVD STE 200

    BROOKLYN CENTER, MN 554293086

    Phone: (763) 537-6612

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55429)

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Frequently asked questions

What unique ID ties claims to SUPPORTIVE LIVING SERVICES, INC.?
NPI 1346374063 is assigned to SUPPORTIVE LIVING SERVICES, INC. under the national enumeration system.
Is SUPPORTIVE LIVING SERVICES, INC.'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does SUPPORTIVE LIVING SERVICES, INC. treat or focus on?
Patients typically see SUPPORTIVE LIVING SERVICES, INC. under the specialty Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
Does SUPPORTIVE LIVING SERVICES, INC. practice in Minnesota?
You will see Brooklyn Center, Minnesota on file for SUPPORTIVE LIVING SERVICES, INC. alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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