SUPPLEMENTAL HEALTH CARE (NPI# 1043562333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043562333 |
| Entity Type | Organization |
| Organization Name | SUPPLEMENTAL HEALTH CARE |
| Practice Address |
708 3rd Ave Fl 5 New York NY 10017-4201 |
| Practice Telephone | 2122093910 |
| Practice Fax Number | 8558582037 |
| Mailing Telephone | 2122093910 |
| Mailing Fax Number | 8558582037 |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |
| Authorized Official Name | LINDA INDIG (MARKET MANAGER) |
| Authorized Official Telephone | 2122093910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | 022230-1 | NY | Agencies |
| 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 |
| 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 |
| 1982992699 | Supplemental Health Care | Health Maintenance Organization | 532 Oak St, Parlier, CA 93648-9658 | 2011-07-14 |
| 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 |
708 3RD AVE FL 5 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10017-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700424702 | Amanda Arielle Grannum | Social Worker | 227 E 41st Street, New York, NY 10017 | 2019-12-20 |
| 1205399748 | Jasmine Marie Williams | Social Worker | Comprehensive Therapeutic Services, 450 Lexington Ave, Fourth Floor, New York, NY 10017 | 2019-04-11 |
| 1093208415 | Kaylin Salubro | Nurse Practitioner | 18 E 41st St Fl 12, New York, NY 10017 | 2018-06-11 |
| 1932698792 | Bryan Cordes | Social Worker | 295 Madison Avenue, Suite 707, New York, NY 10017 | 2018-05-08 |
| 1376048173 | Matthew Bernstein, M.d. Pllc | Psychiatry & Neurology | 370 Lexington Avenue, Suite 1001, New York, NY 10017 | 2018-03-26 |
| 1285137430 | Midtown East Podiatry and Foot Surgery L.L.C. | Podiatrist | 230 E 48th St., #1b, New York, NY 10017 | 2018-03-14 |
| 1831692136 | Olga S Pankiv | Nurse Practitioner | 545 5th Avenue Suite 817, 545 5th Avenue Suite 817, New York, NY 10017 | 2018-03-13 |
| 1023523198 | Randa Jaafar Md,pc | Pain Medicine | 340 East 49th St., Ground Floor, New York, NY 10017 | 2017-12-11 |
| 1962912154 | Yonatan Moshe Sobin | Psychologist | 370 Lexington Ave Rm 1000, New York, NY 10017 | 2017-10-03 |
| 1558880344 | Jendayi Polite | Counselor | 100 Park Ave Fl 16, New York, NY 10017 | 2017-09-13 |
| Find all providers in zip 10017 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288120 | You Can Thrive Foundation | Local Education Agency (LEA) | 535 W 23rd St Apt S8r, New York, NY 10011-1124 | 2020-05-29 |
| 1376081919 | Marcelle Sabin | Local Education Agency (LEA) | 400 E 71st St Apt 5e, New York, NY 10021-4809 | 2017-02-02 |
| 1538422498 | Legendary Therapy | Local Education Agency (LEA) | 225 E 34th St Apt 10h, New York, NY 10016-4737 | 2012-06-16 |
| 1184986291 | Yin Learning Center Inc | Local Education Agency (LEA) | 645 Water St, 5e, New York, NY 10002-8124 | 2012-06-14 |
| 1104137991 | Harlem Family Institute | Local Education Agency (LEA) | 521 W 126th St, New York, NY 10027-2407 | 2010-06-25 |
| 1386975886 | Democracy Prep Charter School New York | Local Education Agency (LEA) | 207 W 133rd St, New York, NY 10030-3201 | 2010-01-22 |
| 1265586788 | Andy Pharmacy Inc. | Local Education Agency (LEA) | 3750 Broadway Store #4, New York, NY 10032 | 2007-01-22 |
| 1518437029 | Nadia Gian | Local Education Agency (LEA) | 37 W 20th St, New York, NY 10011-3706 | 2018-11-27 |
| 1649757675 | Vicki Lein Wong | Local Education Agency (LEA) | 80 W End Ave, New York, NY 10023-6301 | 2018-07-23 |
| 1275058224 | Petra Bernard LLC | Local Education Agency (LEA) | 303 E 83rd St, New York, NY 10028-4318 | 2017-08-11 |
| Find all providers in NEW YORK | ||||
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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.