SUPPLEMENTAL HEALTH CARE


Address: 2631 N Druid Hills Rd Ne, Atlanta, GA 30329-3529
Phone: 4043257994

SUPPLEMENTAL HEALTH CARE (NPI# 1700291671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700291671
Entity Type Organization
Organization Name SUPPLEMENTAL HEALTH CARE
Practice Address 2631 N Druid Hills Rd Ne
Atlanta
GA 30329-3529
Mailing Address 2648 E Madison Dr
Atlanta
GA 30360-2027
Practice Telephone 4043257994
Practice Fax Number 8669027889
Mailing Telephone 7703540883
Enumeration Date 2014-06-30
Last Update Date 2014-06-30
Authorized Official Name MICHELLE DISHNER (OCCUPATIONAL THERAPIST)
Authorized Official Telephone 7703540883
Authorized Official Credential OTR/L
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316315989 Supplemental Health Care General Acute Care Hospital 6851 Caddo Lake Ln, Houston, TX 77083-3505 2015-09-12
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

Other Data Sources

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

Office Location

Street Address 2631 N DRUID HILLS RD NE
City ATLANTA
State GA
Zip Code 30329-3529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942271465 Fountainview Center Lp Skilled Nursing Facility 2631 N Druid Hills Rd Ne, Atlanta, GA 30329-3529 2006-02-01
1639410566 Tabatha Joi Scott Occupational Therapy Assistant 2631 N Druid Hills Rd Ne, Atlanta, GA 30329-3529 2013-03-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871084111 Inner Peace Counseling Services,llc Counselor 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 2018-05-22
1912409392 Joie De Vivre Counseling and Therapy Counselor 2801 Buford Highway, Ne, Atlanta, GA 30329 2018-03-01
1902329105 Barbara Dunbar Psychologist 1777 Northeast Expressway, #175, Atlanta, GA 30329 2017-07-19
1114449048 Cricket Cheyenne Gullickson Student in an Organized Health Care Education/Training Program 1371 Briarvista Way Ne, Atlanta, GA 30329 2017-07-12
1902357866 Carla Zimmerly Nurse Practitioner 1711 Tullie Circle, Atlanta, GA 30329 2016-10-17
1316490808 Shahzad Ghori Student in an Organized Health Care Education/Training Program 1727 Druid Oaks Ne, Atlanta, GA 30329 2016-08-01
1023467768 Ashley Elliott Physician Assistant 59 Executive Park, Atlanta, GA 30329 2016-06-03
1285096115 Kimberley Fox Internal Medicine 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 2016-03-21
1275991648 Mary Patricia Joyce Internal Medicine 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 2016-02-01
1346656618 Amelia Muniz Hernandez Pediatrics 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 2014-07-08
Find all providers in zip 30329

Taxonomy Information

Taxonomy Code 311500000X
Grouping Nursing & Custodial Care Facilities
Classification Alzheimer Center (Dementia Center)

Taxonomy Definition

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093154544 Metro Resource Center, Inc Alzheimer Center (Dementia Center) 444 Edgewood Ave Se, Atlanta, GA 30312-1838 2013-06-18
1346576170 Brea Atlanta Court, LLC Alzheimer Center (Dementia Center) 1262 Hightower Trl, Atlanta, GA 30350-2913 2009-10-29
1770516676 M.d. Matthews Corporation Alzheimer Center (Dementia Center) 2027 Metropolitan Pkwy Sw, Atlanta, GA 30315-5926 2006-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588157341 Provident Group - Canton Cove Properties LLC Alzheimer Center (Dementia Center) 1100 Reinhardt College Parkway, Canton, GA 30114 2018-06-07
1891287645 Provident Group - Creekside Properties LLC Alzheimer Center (Dementia Center) 4838 South Cobb Drive, Smyrna, GA 30080 2018-06-06
1760879332 Bristol Village Management LLC Alzheimer Center (Dementia Center) 1358 Manchester Dr Ne, Conyers, GA 30012-3881 2015-04-22
1497071286 Canton Senior Living, LLC Alzheimer Center (Dementia Center) 125 Riverstone Ter, Canton, GA 30114-5218 2010-04-19
1588991236 Antoinette Fuller Alzheimer Center (Dementia Center) 2024 Registry Dr, Hampton, GA 30228-6396 2009-11-17
1306172135 Emeritus Corporation Alzheimer Center (Dementia Center) 3607 Weems Rd, Columbus, GA 31909-3701 2009-10-29
1699001420 Brea Smyrna LLC Alzheimer Center (Dementia Center) 4375 Beech Haven Trl Se, Smyrna, GA 30080-6601 2009-10-29
1013083278 Fellowship Senior Day Care Center Inc Alzheimer Center (Dementia Center) 4530 Janice Dr, College Park, GA 30337-5204 2006-11-28
1326454893 Allys Senior Services Alzheimer Center (Dementia Center) 190 Stone Pond Ln, Alpharetta, GA 30022-5542 2014-07-06
1174859904 Brea Decatur LLC Alzheimer Center (Dementia Center) 475 Irvin Ct, Decatur, GA 30030-1717 2009-10-29
Find all providers with the same taxonomy

Competitor

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City ATLANTA
Zip Code 30329

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Dataset Information

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.

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