SUPPLEMENTAL HEALTHCARE


Address: 4720 E Cotton Gin Loop, Phoenix, AZ 85040-4823
Phone: 6025679881

SUPPLEMENTAL HEALTHCARE (NPI# 1902145766) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 283X00000X Rehabilitation Hospital 4186 AZ Hospitals

Other Provider IDs and Locations

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

Office Location

Street Address 4720 E COTTON GIN LOOP
City PHOENIX
State AZ
Zip Code 85040-4823

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 283X00000X
Grouping Hospitals
Classification Rehabilitation Hospital

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City PHOENIX
Zip Code 85040

Improve Information

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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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