Provider Demographics
NPI:1942171038
Name:OVERCOME DIRECT SUPPORTS LLC
Entity type:Organization
Organization Name:OVERCOME DIRECT SUPPORTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIDDICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-428-3701
Mailing Address - Street 1:710 W ELMER RD
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-6380
Mailing Address - Country:US
Mailing Address - Phone:609-428-3701
Mailing Address - Fax:
Practice Address - Street 1:710 W ELMER RD
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-6380
Practice Address - Country:US
Practice Address - Phone:609-428-3701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health