Healthcare Provider Details

I. General information

NPI: 1063328060
Provider Name (Legal Business Name): FEAGIN SUPPORT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2653 BRUCE B DOWNS BLVD STE 108A
WESLEY CHAPEL FL
33544-9211
US

IV. Provider business mailing address

36350 CAMP FIRE TER
ZEPHYRHILLS FL
33541-4837
US

V. Phone/Fax

Practice location:
  • Phone: 404-276-2768
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL FEAGINS
Title or Position: CEO
Credential:
Phone: 404-276-2768