SUPPLEMENTAL HEALTH CARE (NPI# 1275897431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275897431 |
| Entity Type | Organization |
| Organization Name | SUPPLEMENTAL HEALTH CARE |
| Practice Address |
6700 Antioch Rd Overland Park KS 66204-1497 |
| Mailing Address |
340 Harrison Ave Liberty MO 64068-2115 |
| Practice Telephone | 8886629225 |
| Mailing Telephone | 8162260607 |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |
| Authorized Official Name | SHANNON LEIGH HALLGRIMSON (OT) |
| Authorized Official Telephone | 8162260607 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 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 |
| 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 |
6700 ANTIOCH RD |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66204-1497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275984106 | Amanda Jo Defelice | Speech-Language Pathologist | 6700 Antioch Rd, #120, Overland Park, KS 66204-1497 | 2016-06-22 |
| 1386001253 | Helen Vernona Mclogan-chamberlain | Speech-Language Pathologist | 6700 Antioch Rd, #120, Overland Park, KS 66204-1497 | 2016-01-24 |
| 1740658608 | Amanda Crum | Speech-Language Pathologist | 6700 Antioch Rd, #120, Overland Park, KS 66204-1497 | 2015-09-09 |
| 1003210147 | Marcella Jane Hillman | Occupational Therapist | 6700 Antioch Rd, Overland Park, KS 66204-1497 | 2014-10-17 |
| 1336542265 | Amber M Tetzner | Occupational Therapist | 6700 Antioch Rd, Suite 120, Overland Park, KS 66204-1497 | 2014-10-06 |
| 1124420278 | Ginny Beth Stimac | Occupational Therapist | 6700 Antioch Rd, Suite 120, Overland Park, KS 66204-1497 | 2014-09-19 |
| 1679984470 | Patricia Marie Wietnik | Physical Therapy Assistant | 6700 Antioch Rd, Suite #120, Overland Park, KS 66204-1497 | 2014-05-14 |
| 1821409657 | Brenda Burch | Occupational Therapy Assistant | 6700 Antioch Rd, #120, Overland Park, KS 66204-1497 | 2014-05-14 |
| 1225381452 | Kathryn Ann Johnson | Speech-Language Pathologist | 6700 Antioch Rd, Overland Park, KS 66204-1497 | 2012-10-25 |
| 1316206634 | Julie Lynn Johnson | Speech-Language Pathologist | 6700 Antioch Rd, 120, Overland Park, KS 66204-1497 | 2012-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
| 1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
| 1427577469 | Linda Kay Mufich-knopp | Physical Therapist | Femme Focus, L.L.C. In The Home Family Holistic Center, 7927 Floyd Street, Suite 5, Overland Park, KS 66204 | 2017-09-11 |
| 1700304789 | Kalli Dee Karmann | Occupational Therapy Assistant | 6814 W 72nd St, Overland Park, KS 66204 | 2017-08-30 |
| 1164951786 | Daniel Collins | Physical Therapist | 10000 W. 75th St. Ste. 250, Merriam, KS 66204 | 2017-06-07 |
| 1942686530 | Anna Katheryn Grantham | Speech-Language Pathologist | 10000 W. 75th St., Suite 250, Merriam, KS 66204 | 2015-08-05 |
| 1700262680 | Maple Hills Healthcare, Inc. | Skilled Nursing Facility | 7600 Antioch Rd, Overland Park, KS 66204 | 2015-08-03 |
| 1104211085 | John Brainard | Pediatrics | 8901 W 74th St Ste 10, Shawnee Mission, KS 66204 | 2015-03-30 |
| 1477941318 | Shelley Watts | Occupational Therapy Assistant | 6712 W 72nd Street, Overland Park, KS 66204 | 2014-12-30 |
| 1578963369 | James Aaron Mitchum | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204 | 2014-08-28 |
| Find all providers in zip 66204 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033732706 | C & L Management, LLC | Home Health | 7400 W 130th St Ste 345, Overland Park, KS 66213-2678 | 2020-05-28 |
| 1457986820 | Tanui & Murage Comfort Care Home Health LLC | Home Health | 6600 W 95th St Ste 203b, Overland Park, KS 66212-1436 | 2020-03-06 |
| 1386117653 | Anne Palmer Omigie | Home Health | 10100 W 136th St Apt 1003, Overland Park, KS 66221-7838 | 2019-01-09 |
| 1427590967 | Destiny Home Health | Home Health | 6520 W 110th St, Suite 106, Overland Park, KS 66211-1898 | 2016-11-15 |
| 1245698778 | Robert L Nelson Dds Mobile, LLC | Home Health | 9608 W 123rd St, Overland Park, KS 66213-1689 | 2016-01-28 |
| 1255798450 | Madison Health LLC | Home Health | 11778 Melrose St, #69, Overland Park, KS 66210-3822 | 2016-01-20 |
| 1205223856 | Dr. Kristyn J Craigmiles, Dpt | Home Health | 11670 Wedd St, #10, Overland Park, KS 66210-3108 | 2015-04-22 |
| 1255748257 | Home Health Critical Care LLC | Home Health | 10800 Farley St, Suite 265, Overland Park, KS 66210-1414 | 2014-07-22 |
| 1467879049 | Quality Home Health Care LLC | Home Health | 10308 Metcalf Ave #147, Overland Park, KS 66212-1800 | 2014-03-21 |
| 1437570199 | Carelink Home Health Services LLC | Home Health | 5602 W 153rd St, Overland Park, KS 66223-3273 | 2013-12-26 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66204 |
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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.