MEDICARE: STIMM SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251S00000X	Community/Behavioral Health Agency
4	253Z00000X	In Home Supportive Care Agency
5	305S00000X	Point of Service
6	310400000X	Assisted Living Facility
7	343900000X	Non-emergency Medical Transport (VAN)
8	385H00000X	Respite Care
9	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
10	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1518793967
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STIMM SERVICES LLC

Provider Business Mailing Address
First Line	:	3203 MORTON LN
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-4929
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3203 MORTON LN
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-4929
Country	:	US
Telephone Number	:	919-408-2332
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	TIA MILLS
Credential	:
Telephone Number	:	252-258-7412

Provider Enumeration Date	:	09/11/2024
Last Update Date	:	09/11/2024

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Directions to “STIMM SERVICES LLC ” Practice Location

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