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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities |
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 |
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 |
2631 N DRUID HILLS RD NE |
City | ATLANTA |
State | GA |
Zip Code | 30329-3529 |
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 |
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 Code | 311500000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Alzheimer Center (Dementia Center) |
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. |
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 |
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 |
Please comment or provide details below to improve the information on SUPPLEMENTAL HEALTH CARE.
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.