SUPPLEMENTAL (NPI# 1659522829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659522829 |
| Entity Type | Organization |
| Organization Name | SUPPLEMENTAL |
| Practice Address |
20 Ne Saint Lukes Blvd Suite 100 Lees Summit MO 64086-6001 |
| Mailing Address |
313b Se Melody Ln Lees Summit MO 64063-2915 |
| Practice Telephone | 8163475748 |
| Practice Fax Number | 8163475798 |
| Mailing Telephone | 8166827197 |
| Mailing Fax Number | 8163475798 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Authorized Official Name | MRS. KERRI LYN SWICK (PHYSICAL THERAPIST ASSISTANT) |
| Authorized Official Telephone | 8163475748 |
| Authorized Official Credential | A.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 2007023014 | MO | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316294507 | Supplemental | Clinic/Center | 152 S Walker St, Braidwood, IL 60408-1952 | 2012-08-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SUPPLEMENTAL BENEFIT SOLUTIONS, INC. | 7160 Sw Fir Lp Ste 103, Portland, OR 97223 |
| Virginia Business Entities | Supplemental Benefits Advisors Inc. | 6385 Partridge Drive, Norfolk, Virginia 23513 |
| Virginia Business Entities | SUPPLEMENTAL BENEFITS INC. | |
| Virginia Business Entities | SUPPLEMENTAL BENEFITS SERVICES INC. | 133 Ryegate Road, Po Box 927, Mechanicsburg, Pennsylvania 17055-8927 |
| Ohio Business Entities | SUPPLEMENTAL ENERGY RESOURCES CORPORATION | 5455 Muirfield Ct, Dublin, OH 43017 |
| New York State Corporations | SUPPLEMENTAL ESTIMATING LLC | 193 Dana Rive, Sewickley, Pa 15143 |
| 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 |
| Washington State Corporations | SUPPLEMENTAL INSTRUCTIONAL SERVICES, INC. | 220 Waatch Beach Dr, Neah Bay, WA 98357 |
| Street Address |
20 NE SAINT LUKES BLVD SUITE 100 |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-6001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881677938 | Frank Joseph Totta | Internal Medicine | 20 Ne Saint Lukes Blvd, Suite 330, Lees Summit, MO 64086-6003 | 2005-11-22 |
| 1598142028 | Kristin Davis | Nurse Practitioner | 20 Ne Saint Lukes Blvd, Ste. 200, Lees Summit, MO 64086-6001 | 2015-05-05 |
| 1639507858 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 20 Ne Saint Lukes Blvd, Suite 310, Lees Summit, MO 64086-6001 | 2013-10-25 |
| 1356776181 | Kristen Marie Burkett | Nurse Practitioner | 20 Ne Saint Lukes Blvd, 350, Lees Summit, MO 64086-6001 | 2013-09-11 |
| 1174879282 | Kieron James Broderick | Nurse Practitioner | 20 Ne Saint Lukes Blvd, Suite 200, Lees Summit, MO 64086-6001 | 2012-07-25 |
| 1184915753 | Crystal Dianne Taylor | Obstetrics & Gynecology | 20 Ne Saint Lukes Blvd, Suite 310, Lees Summit, MO 64086-6001 | 2011-04-29 |
| 1962729152 | Thomas Warren Lovinger | Family Medicine | 20 Ne Saint Lukes Blvd, Ste. 200, Lees Summit, MO 64086-6001 | 2010-04-27 |
| 1285868562 | Vaishali Bhavin Patel | Internal Medicine | 20 Ne Saint Lukes Blvd, Ste. 200, Lees Summit, MO 64086-6001 | 2009-05-14 |
| 1780825570 | Kimberly A Berthold | Nurse Practitioner | 20 Ne Saint Lukes Blvd, Suite 240, Lees Summit, MO 64086-6001 | 2009-03-09 |
| 1730348541 | Patricia Dandache | Internal Medicine | 20 Ne Saint Lukes Blvd, Suite 300, Lees Summit, MO 64086-6001 | 2008-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457864944 | Mcclay Health and Rehab LLC | Rehabilitation Unit | 3801 Mcclay Rd, Saint Peters, MO 63376-7327 | 2017-11-07 |
| 1841385093 | Heartland Regional Medical Center | Rehabilitation Unit | 5325 Faraon, Saint Joseph, MO 64506-3398 | 2006-10-04 |
| 1790239895 | Karin Derigne | Rehabilitation Unit | 1101 Highway K, O Fallon, MO 63366-8431 | 2016-08-08 |
| 1801275466 | Harley Grant Beck | Rehabilitation Unit | 3950 Newman Rd, Joplin, MO 64801-1512 | 2015-05-28 |
| 1134506611 | Department of Veterans Affairs | Rehabilitation Unit | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2015-05-04 |
| 1033596234 | Hannibal Regional Healthcare System Inc | Rehabilitation Unit | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2015-04-27 |
| 1962809947 | Prime Healthcare Services Blue Springs, LLC | Rehabilitation Unit | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2014-11-19 |
| 1558767624 | Prime Healthcare Services Kansas City, LLC | Rehabilitation Unit | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2014-11-17 |
| 1063700862 | Springfield Neurological and Spine Institute | Rehabilitation Unit | 3535 S National Ave, Springfield, MO 65807-7310 | 2011-07-13 |
| 1508192543 | Mercy Hospital Joplin | Rehabilitation Unit | 2817 Saint Johns Blvd, Joplin, MO 64804-1563 | 2009-10-27 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
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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.