SUPPLEMENTAL HEALTH CARE (NPI# 1316315989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316315989 |
| Entity Type | Organization |
| Organization Name | SUPPLEMENTAL HEALTH CARE |
| Practice Address |
6851 Caddo Lake Ln Houston TX 77083-3505 |
| Practice Telephone | 3472650067 |
| Enumeration Date | 2015-09-12 |
| Last Update Date | 2015-09-12 |
| Authorized Official Name | LEESHA BUSH (DIRECTOR OF RECRUITMENT) |
| Authorized Official Telephone | 2144627077 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 834554751 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700276235 | Supplemental Health Care | Skilled Nursing Facility | 25901 115th Street Ct E, Buckley, WA 98321-9345 | 2015-02-04 |
| 1306260187 | Supplemental Health Care | Local Education Agency (LEA) | 2320 Linwood Ave Apt 2a, Fort Lee, NJ 07024-3807 | 2014-02-13 |
| 1033540703 | Supplemental Health Care | Skilled Nursing Facility | 1 Stable Gate Rd, Hilton Head, SC 29926-1059 | 2013-12-06 |
| 1689002263 | Supplemental Health Care | Skilled Nursing Facility | 161 Pope Dr, Wampum, PA 16157-3521 | 2013-10-17 |
| 1386072940 | Supplemental Health Care | Respiratory Therapist, Registered | 539 Union Blvd, Union, SC 29379-2940 | 2013-10-17 |
| 1316372089 | Supplemental Health Care | Public Health or Welfare | 5099 W Cortland Ave, Fresno, CA 93722-9773 | 2013-09-12 |
| 1043562333 | Supplemental Health Care | Local Education Agency (LEA) | 708 3rd Ave Fl 5, New York, NY 10017-4201 | 2012-10-10 |
| 1396010781 | Supplemental Health Care | Skilled Nursing Facility | 1759 W 5th St, Washington, NC 27889-4003 | 2012-03-19 |
| 1306121801 | Supplemental Health Care | Exclusive Provider Organization | 2515 Augustine Ln, Placerville, CA 95667 | 2011-10-15 |
| 1982992699 | Supplemental Health Care | Health Maintenance Organization | 532 Oak St, Parlier, CA 93648-9658 | 2011-07-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUPPLEMENTAL HEALTH CARE | 1640 W Redstone Ctr Dr Ste 200, Park City, UT 84098-7607 |
| Massachusetts Corporations | SUPPLEMENTAL HEALTH CARE SERVICES, LIMITED | 1912 Sidewinder Dr., Ste 210, Park City, UT 84060 |
| Washington State Corporations | SUPPLEMENTAL HEALTH CARE SERVICES, LIMITED | 711 Capitol Way S Ste 204, Olympia, WA 98501 |
| Street Address |
6851 CADDO LAKE LN |
| City | HOUSTON |
| State | TX |
| Zip Code | 77083-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
| 1225663495 | Hopeful Living Center | Psychologist | 9906 Kingsville Park Drive, Houston, TX 77083 | 2020-03-09 |
| 1053953851 | Dthealth, Pllc | Clinic/Center | 13218 Bellaire Blvd, Houston, TX 77083 | 2019-10-13 |
| 1659938413 | Bernadette Ebelechukwu Ekwutife | Registered Nurse | 9715 El Pico Drive, Sugar Land, TX 77083 | 2019-05-28 |
| 1356805089 | Paulant Health & Allied Services Inc. | Home Health | 7207 Crimson Sky Drive, Houston, TX 77083 | 2019-01-28 |
| 1457832537 | Elizabeth Nwakaego Nwosu | Registered Nurse | 4125 San Dimas Drive, Houston, TX 77083 | 2018-08-27 |
| 1003397423 | Chawntel Rene Walker-carter | Licensed Practical Nurse | 7514 San Dimas Sr, Houston, TX 77083 | 2018-08-23 |
| 1508343773 | Martin Nguyen | Dentist | 9203 S Texas Highway 6, Suite #114, Houston, TX 77083 | 2018-07-20 |
| 1477054930 | Joe Jacob | Registered Nurse | 8231 Sonesta Point Lane, Houston, TX 77083 | 2018-02-21 |
| 1730692393 | Martha Jaimes | Case Manager/Care Coordinator | 7515 Tremendo Dr, Houston, TX 77083 | 2017-11-06 |
| Find all providers in zip 77083 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275177032 | Heights Hospital LLC | General Acute Care Hospital | 1917 Ashland St Ste 600, Houston, TX 77008-3907 | 2019-11-04 |
| 1396288536 | Amini Smc LLC | General Acute Care Hospital | 16103 Cerca Blanca Dr, Houston, TX 77083-4940 | 2016-11-20 |
| 1821443367 | Westside Surgical Hospital, LLC | General Acute Care Hospital | 11375 W Sam Houston Pkwy, Suite 150, Houston, TX 77031 | 2016-05-03 |
| 1316327679 | Taher Mustafa Mandviwala | General Acute Care Hospital | 12402 Normont Dr, Houston, TX 77070-2455 | 2015-06-02 |
| 1528451374 | Tangela Bristo | General Acute Care Hospital | 1699 Romano Park Ln, Apt 542, Houston, TX 77090-2353 | 2015-03-17 |
| 1578967121 | Horace T Robbins, M.d. | General Acute Care Hospital | 21 Briar Hollow Ln Unit 703, Houston, TX 77027-2808 | 2014-10-10 |
| 1588066849 | New Era Surgical Group, Pllc | General Acute Care Hospital | 4200 Twelve Oaks Drive, Houston, TX 77027 | 2014-09-18 |
| 1841690740 | Chi St Luke's Health Baylor St. Luke's Medical Center | General Acute Care Hospital | 6720 Bertner Street, Mc 4-278 Box 112, Houston, TX 77030 | 2014-08-27 |
| 1003158379 | Michael James Jamieson | General Acute Care Hospital | 1410 Southmore Blvd, Houston, TX 77004-5846 | 2013-03-25 |
| 1336493006 | Texienne Hospital Systems, L.p. | General Acute Care Hospital | 17400 Red Oak Dr., Houston, TX 77090-1246 | 2012-11-02 |
| Find all providers in HOUSTON | ||||
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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.