SUPPLEMENTAL HEALTHCARE (NPI# 1154604700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154604700 |
| Entity Type | Organization |
| Organization Name | SUPPLEMENTAL HEALTHCARE |
| Other Organization Name | SHC |
| Practice Address |
1120 N Town Center Dr Ste 120 Las Vegas NV 89144-6302 |
| Mailing Address |
5135 Marshall Island Ct North Las Vegas NV 89031-0962 |
| Practice Telephone | 9999999999 |
| Mailing Telephone | 7024949323 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |
| Authorized Official Name | MR. BRAIN KAISERMAN (SUPERVISOR/MANAGER) |
| Authorized Official Telephone | 9999999999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 283X00000X | Rehabilitation Hospital | RC1676 | NV | Hospitals |
| Y | 251J00000X | Nursing Care | RC1676 | NV | Agencies |
| Other Name | Type Code |
|---|---|
| SHC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831625037 | Supplemental Healthcare | Skilled Nursing Facility | 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 | 2017-05-08 |
| 1477981199 | Supplemental Healthcare | Nursing Facility/Intermediate Care Facility | 200 Tulip Tree Ct, Easley, SC 29642-7600 | 2013-10-15 |
| 1376837922 | Supplemental Healthcare | Case Management | 4620 N Braeswood Blvd Apt 52, Houston, TX 77096-2847 | 2011-05-31 |
| 1871899302 | Supplemental Healthcare | Skilled Nursing Facility | 9029 E Mississippi Ave Apt R302, Denver, CO 80247-6867 | 2011-01-31 |
| 1376788166 | Supplemental Healthcare | Rehabilitation Hospital | 333 Gellert Blvd Ste 150, Daly City, CA 94015-2690 | 2008-12-08 |
| 1144409640 | Supplemental Healthcare | Home Health | 6033 Brookgreen Ct, Spartanburg, SC 29301-3547 | 2007-10-31 |
| 1982745022 | Supplemental Healthcare | General Acute Care Hospital | 3040 Post Oak Blvd, Suite 1200, Houston, TX 77056-6500 | 2007-02-10 |
| 1619377785 | Supplemental Healthcare | Occupational Therapy Assistant | 7320 Sw Hunziker St Ste 203, Tigard, OR 97223-2301 | 2014-08-26 |
| 1427489723 | Supplemental Healthcare | Local Education Agency (LEA) | 551 5th Ave, Suite 1923, New York, NY 10176-0001 | 2013-12-11 |
| 1407281140 | Supplemental Healthcare | General Acute Care Hospital | 6500 Rockside Rd, Ste. 240, Independence, OH 44131-2368 | 2013-09-12 |
| Street Address |
1120 N TOWN CENTER DR STE 120 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417238882 | Amanda Kari Wakershauser | Physical Therapy Assistant | 1120 N Town Center Dr Ste 120, Las Vegas, NV 89144-6302 | 2011-08-30 |
| 1326309790 | Shaun Crowley | Physical Therapy Assistant | 1120 N Town Center Dr Ste 120, Las Vegas, NV 89144-6302 | 2012-06-01 |
| 1952661704 | Donna Emelo | Respiratory Therapist, Certified | 1120 N Town Center Dr Ste 120, Las Vegas, NV 89144-6302 | 2012-05-25 |
| 1154680841 | Bethany Hoopes | Occupational Therapy Assistant | 1120 N Town Center Dr Ste 120, Las Vegas, NV 89144-6302 | 2012-05-15 |
| 1811256092 | Margaret Nudel | Occupational Therapist | 1120 N Town Center Dr Ste 120, Las Vegas, NV 89144-6302 | 2012-05-09 |
| 1215295845 | Travisia Minor | Respiratory Therapist, Certified | 1120 N Town Center Dr Ste 120, Las Vegas, NV 89144-6302 | 2012-05-02 |
| 1053679969 | Stephanie J Turner | Physical Therapy Assistant | 1120 N Town Center Dr Ste 120, Las Vegas, NV 89144-6302 | 2012-04-27 |
| 1598022659 | Veronica Akem | Respiratory Therapist, Registered | 1120 N Town Center Dr Ste 120, Las Vegas, NV 89144-6302 | 2012-04-13 |
| 1649537820 | Sheila Rustad | Occupational Therapist | 1120 N Town Center Dr Ste 120, Las Vegas, NV 89144-6302 | 2012-04-12 |
| 1992062194 | Jocelyn Pereira | Occupational Therapy Assistant | 1120 N Town Center Dr Ste 120, Las Vegas, NV 89144-6302 | 2012-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
| 1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
| 1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
| 1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| Find all providers in zip 89144 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891278503 | Shalay Hubbard | Nursing Care | 1660 Marion Bennet Dr, Las Vegas, NV 89106-2462 | 2018-09-09 |
| 1740776871 | Ross Senior Residence | Nursing Care | 5935 W Saddle Ave, Las Vegas, NV 89103-0118 | 2018-07-01 |
| 1962652347 | Professional Nursing Consultant Services Inc. | Nursing Care | 8778 S. Maryland Pkwy, Suite 105, Las Vegas, NV 89123-6705 | 2008-09-23 |
| 1326552142 | Katherine Cornella | Nursing Care | 5564 S Fort Apache Rd Ste 120, Las Vegas, NV 89148-3601 | 2017-12-01 |
| 1194013672 | Atoz Home Care Options | Nursing Care | 3017 W Charleston Blvd, Suite 58, Las Vegas, NV 89102-1941 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841899 | Sandra Eugenia Lemus | Nursing Care | 636 Brinkby Ave Apt 116, Reno, NV 89509-4430 | 2020-08-16 |
| 1184273914 | Speedycare | Nursing Care | 1907 Thunder Storm Ave, N Las Vegas, NV 89032-4868 | 2019-09-04 |
| 1336494012 | The Hawthorne Group Inc | Nursing Care | 9190 Double Diamond Pkwy Ste 130, Reno, NV 89521-4842 | 2012-07-18 |
| 1043442163 | Nevada State Health Division/far Nursin | Nursing Care | 250 N Hwy 160, Ste 6, Pahrump, NV 89060-4016 | 2009-08-24 |
| 1518199645 | Nevada State Health Division/far Nursin | Nursing Care | 34 Lakes Blvd, Dayton, NV 89403-8803 | 2009-08-24 |
| 1801028931 | Nevada State Health Division/far Nursin | Nursing Care | 485 'b' Street, Suite 101, Fallon, NV 89406-2765 | 2009-08-24 |
| 1629200746 | Nevada State Health Division/far Nursin | Nursing Care | 102 E Haskell St, Winnemucca, NV 89445-3247 | 2009-08-24 |
| 1962634089 | Nevada State Health Division/far Nursin | Nursing Care | 995 Campton Street, Ely, NV 89301-1987 | 2009-08-24 |
| 1336371467 | Nevada State Health Division/far Nursin | Nursing Care | 2965 Ft Churchill Rd, Silver Springs, NV 89429 | 2009-08-24 |
| 1467684597 | Nevada State Health Division/far Nursin | Nursing Care | 555 East Main Street, Fernley, NV 89408-0988 | 2009-08-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.