SUPPORTIVE HEALTHCARE INC (NPI# 1063763944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063763944 |
| Entity Type | Organization |
| Organization Name | SUPPORTIVE HEALTHCARE INC |
| Practice Address |
14000 S Military Trl Delray Beach FL 33484-2610 |
| Mailing Address |
2337 Vintage Dr Lighthouse Point FL 33064-6089 |
| Practice Telephone | 5613071801 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-11-20 |
| Authorized Official Name | MARK GERHARDT (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5612348881 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
14000 S MILITARY TRL |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33484-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962675983 | Alyson Gail Benison | Counselor | 14000 S Military Trl, Suite 206c, Delray Beach, FL 33484-2610 | 2008-04-10 |
| 1376028118 | Andrea Mcquitty | Marriage & Family Therapist | 14000 S Military Trl, Delray Beach, FL 33484-2610 | 2018-09-27 |
| 1689151045 | Rachel Loren Callister | Counselor | 14000 S Military Trl, Delray Beach, FL 33484-2610 | 2018-07-27 |
| 1154826162 | Sergio Ivan Muriel | Counselor | 14000 S Military Trl, Delray Beach, FL 33484-2610 | 2018-03-30 |
| 1396261814 | Samantha De Borchgrave | Counselor | 14000 S Military Trl, Delray Beach, FL 33484-2610 | 2017-08-16 |
| 1851742407 | Peak Physicians Group Inc | Psychologist | 14000 S Military Trl, Suite 103, Delray Beach, FL 33484-2610 | 2016-06-24 |
| 1780027920 | Pinnacle Testing | Clinical Medical Laboratory | 14000 S Military Trl, Suite 202, Delray Beach, FL 33484-2600 | 2013-04-08 |
| 1134474505 | Gdsl, Inc | Clinical Medical Laboratory | 14000 S Military Trl, Suite 211 B, Delray Beach, FL 33484-2610 | 2012-07-20 |
| 1912203688 | Transformations Treatment Center | Psychologist | 14000 S Military Trl, Suite 204, Delray Beach, FL 33484-2610 | 2011-01-28 |
| 1073826368 | Jawad Daud | Psychiatry & Neurology | 14000 S Military Trl, Suite 202, Delray Beach, FL 33484-2610 | 2010-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576127 | Christian Travis Wade Maxwell | Student in an Organized Health Care Education/Training Program | Fair Oaks Pavilion Rm 247, 5440 Linton Boulevard, Delray Beach, FL 33484 | 2020-04-03 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1164905741 | Dana Correnti | Physician Assistant | 5210 Linton Blvd Ste 301, Delray Beach, FL 33484 | 2018-09-10 |
| 1891207924 | Philip Craig Davidoff | Music Therapist | 13859b Via Aurora, Delray Beach, FL 33484 | 2017-10-30 |
| 1265943963 | Megan Elizabeth Garvey-henaka | Social Worker | 14000 S. Military Trail Suite 204a, Delray Beach, FL 33484 | 2017-10-20 |
| 1558726984 | Nena Reloj Neron | Physical Therapist | 16089 Poppyseed Cir Unit 2018, Delray Beach, FL 33484 | 2015-12-30 |
| 1427430354 | Hannah Ilene Cardarelli | Physician Assistant | 14555 Springside Ln, Delray Beach, FL 33484 | 2015-06-27 |
| 1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
| 1679980288 | Ashley Susan Lennan | Chiropractor | 14590 S Military Trl Bay Stee5, Delray Beach, FL 33484 | 2014-07-15 |
| 1104257211 | Jaime Agustin Catala | Internal Medicine | 5130 Linton Blvd Ste G1, Delray Beach, FL 33484 | 2013-11-29 |
| Find all providers in zip 33484 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265045140 | American Care of South Florida, Inc | General Practice | 3029 N Federal Hwy, Delray Beach, FL 33483-6237 | 2020-08-28 |
| 1861048290 | Marcus Grey | General Practice | 109 North Swinton Avenue, Delray Beach, FL 33444 | 2019-08-12 |
| 1487156634 | Ferguson Life Health Centers of Florida | General Practice | 932 Allamanda Dr, Delray Beach, FL 33483-4914 | 2018-03-05 |
| 1053748921 | Ocean Walk Health, LLC | General Practice | 6075 Via Crystalle, Delray Beach, FL 33484-6495 | 2013-10-08 |
| 1114359700 | Guerry Faustin | General Practice | 600 N Congress Ave Ste 420, Delray Beach, FL 33445-3458 | 2013-08-06 |
| 1548437049 | Michael Scott Cygler | General Practice | 7370 S Oriole Blvd Apt 504, Delray Beach, FL 33446-3524 | 2008-05-14 |
| 1558568840 | Claudia V Perdei | General Practice | 5258 Linton Blvd Ste 305, Delray Beach, FL 33484-6539 | 2007-06-29 |
| 1447300876 | Nicholas Mentus | General Practice | 14567 White Jade Ter, Delray Beach, FL 33446-2230 | 2007-01-10 |
| 1659972461 | Bless Medical Center of Delray LLC | General Practice | 190 Congress Park Dr Ste 180, Delray Beach, FL 33445-4707 | 2020-11-06 |
| 1508416074 | Delray Medical Institute Inc | General Practice | 190 Congress Park Dr Ste 180, Delray Beach, FL 33445-4707 | 2019-09-17 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33484 |
Please comment or provide details below to improve the information on SUPPORTIVE HEALTHCARE INC.
| 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.