Provider Demographics
NPI:1144939877
Name:SIMPLICITY SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:SIMPLICITY SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NOELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESAKOBIBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-318-7916
Mailing Address - Street 1:6 TRACK VIEW TER
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-7419
Mailing Address - Country:US
Mailing Address - Phone:207-318-7916
Mailing Address - Fax:
Practice Address - Street 1:6 TRACK VIEW TER
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-7419
Practice Address - Country:US
Practice Address - Phone:207-318-7916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251S00000XAgenciesCommunity/Behavioral Health