Healthcare Provider Details

I. General information

NPI: 1053086546
Provider Name (Legal Business Name): ROSS-STEED SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2021
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 BRENTSHIRE SQ STE A
JACKSON TN
38305-2697
US

IV. Provider business mailing address

16 BRENTSHIRE SQ STE A
JACKSON TN
38305-2697
US

V. Phone/Fax

Practice location:
  • Phone: 731-300-0767
  • Fax:
Mailing address:
  • Phone: 731-300-0767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA STEED
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 731-695-7215