SUPPLEMENTAL HEALTHCARE (NPI# 1902145766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902145766 |
Entity Type | Organization |
Organization Name | SUPPLEMENTAL HEALTHCARE |
Practice Address |
4720 E Cotton Gin Loop Phoenix AZ 85040-4823 |
Practice Telephone | 6025679881 |
Mailing Telephone | 6025679881 |
Enumeration Date | 2013-02-13 |
Last Update Date | 2013-02-13 |
Authorized Official Name | JACQUELINE SMITH (OCCUPATIONAL THERAPY ASSISTANT) |
Authorized Official Telephone | 6025679881 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283X00000X | Rehabilitation Hospital | 4186 | AZ | Hospitals |
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 |
4720 E COTTON GIN LOOP |
City | PHOENIX |
State | AZ |
Zip Code | 85040-4823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497900955 | Dana M Winnie | Physical Therapist | 4720 E Cotton Gin Loop, Phoenix, AZ 85040-8858 | 2008-11-25 |
1013357060 | Bianca Womack | Physical Therapy Assistant | 4720 E Cotton Gin Loop, Phoenix, AZ 85040-4823 | 2013-07-03 |
1124468178 | Lynne Marie Hinman-reckling | Physical Therapist | 4720 E Cotton Gin Loop, Suite 140, Phoenix, AZ 85040-4823 | 2013-07-03 |
1699026542 | Leela Samudrala | Physical Therapy Assistant | 4720 E Cotton Gin Loop, Ste 140, Phoenix, AZ 85040-4823 | 2012-10-01 |
1326395864 | Cunthia Coats | Physical Therapist | 4720 E Cotton Gin Loop, Suite 140, Phoenix, AZ 85040 | 2012-08-14 |
1598026965 | Kelsey M Johnson | Occupational Therapist | 4720 E Cotton Gin Loop, Ste 140, Phoenix, AZ 85040-4823 | 2012-06-01 |
1366701260 | Melissa Gardner | Occupational Therapist | 4720 E Cotton Gin Loop, Ste 140, Phoenix, AZ 85040-4823 | 2012-05-11 |
1750655601 | Tami S Otey | Physical Therapy Assistant | 4720 E Cotton Gin Loop, Suite 140, Phoenix, AZ 85040-4823 | 2012-02-23 |
1134404841 | Chanthoeun Him | Physical Therapy Assistant | 4720 E Cotton Gin Loop, Ste 140, Phoenix, AZ 85040-4823 | 2011-10-13 |
1508144577 | David New | Occupational Therapist | 4720 E Cotton Gin Loop, Ste. 140, Phoenix, AZ 85040-4823 | 2011-07-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104459072 | Xyz Mobility LLC | Durable Medical Equipment & Medical Supplies | 4014 East Broadway Rd, Suite 405, Phoenix, AZ 85040 | 2020-02-19 |
1184162588 | Moses Assisted Living LLC | Community Based Residential Treatment Facility, Mental Illness | 827 E Chipman Rd, Phoenix, AZ 85040 | 2017-02-06 |
1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
1578956280 | Ashley Elizabeth Church | Physical Therapist | 5750 S. 32nd St, Phoenix, AZ 85040 | 2015-03-05 |
1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
1639200017 | Kevin Wayne Jones | Specialist/Technologist | 5621 S. 24th Street, Jones Concrete Construction LLC, Phoenix, AZ 85040 | 2007-03-08 |
1861529109 | Jayesh C Patel | Dentist | 522 East Southern Ave, Phoenix, AZ 85040 | 2007-02-27 |
Find all providers in zip 85040 |
Taxonomy Code | 283X00000X |
Grouping | Hospitals |
Classification | Rehabilitation Hospital |
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871912238 | Rachel Schider | Rehabilitation Hospital | 18202 N 45th St, Phoenix, AZ 85032-1584 | 2014-04-14 |
1114240785 | Caremeridian, LLC | Rehabilitation Hospital | 15032 N. 37th Ave., Phoenix, AZ 85053-4620 | 2010-03-10 |
1598390056 | Reunion Rehabilitation Hospital Phoenix, LLC | Rehabilitation Hospital | 417 N 16th St, Phoenix, AZ 85006-3710 | 2020-03-05 |
1548629306 | Dignity Health | Rehabilitation Hospital | 240 W Thomas Rd, Phoenix, AZ 85013-4407 | 2016-02-22 |
1023358983 | Phoenix Va Hospital | Rehabilitation Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2013-02-28 |
1477893402 | Phoenix Va Hospital | Rehabilitation Hospital | 605 E Indian School Rd, Phoenix, AZ 85012-1845 | 2013-02-28 |
1720360233 | Matthew Ronald Gordon | Rehabilitation Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2011-09-12 |
1588715122 | Centerre Rehabilitation Hospital of Arizona, LLC | Rehabilitation Hospital | 2601 E Roosevelt St, 7th Floor, Phoenix, AZ 85008-4973 | 2007-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649725193 | Dignity-kindred Rehabilitation Hospital East Valley, LLC | Rehabilitation Hospital | 1515 W. Chandler Blvd, Chandler, AZ 85224-6141 | 2016-08-24 |
1598012783 | Globalrehab-scottsdale, LLC | Rehabilitation Hospital | 8850 E. Pima Center Parkway, Scottsdale, AZ 85258 | 2012-08-07 |
1366762296 | Mentor Abi | Rehabilitation Hospital | 6512 E Ludlow Dr, Scottsdale, AZ 85254-3311 | 2010-06-02 |
1205076528 | Encompass Health Rehabilitation Hospital of East Valley, LLC | Rehabilitation Hospital | 5652 East Baseline Road, Mesa, AZ 85206 | 2009-02-26 |
1790921765 | Frances Anne Wright | Rehabilitation Hospital | 710 Pittsburg Ave, Bisbee, AZ 85603-1239 | 2008-12-22 |
1245273853 | Mountain Valley Regional Rehabilitation Hospital Inc | Rehabilitation Hospital | 3700 North Windsong Dr, Prescott, AZ 86314-1253 | 2006-06-13 |
1295709954 | Yuma Rehabilitation Hospital, L.L.C. | Rehabilitation Hospital | 901 W 24th St, Yuma, AZ 85364 | 2006-02-16 |
1376517508 | Encompass Health Valleyofthesun Rehabilitation Hospital, LLC | Rehabilitation Hospital | 13460 N 67th Ave, Glendale, AZ 85304 | 2006-02-14 |
1851921571 | Bhsm Rehabilitation, LLC | Rehabilitation Hospital | 12740 N Plaza Del Rio Blvd, Peoria, AZ 85381-8100 | 2020-01-22 |
1316463276 | Rehabilitation Hospital of Northern Arizona LLC | Rehabilitation Hospital | 1851 N Gemini Dr, Flagstaff, AZ 86001-1607 | 2017-08-22 |
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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.