SUPPLEMENTAL HEALTH CARE (NPI# 1316372089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316372089 |
| Entity Type | Organization |
| Organization Name | SUPPLEMENTAL HEALTH CARE |
| Other Organization Name | SUPPLEMENTAL HEALTH CARE |
| Practice Address |
5099 W Cortland Ave Fresno CA 93722-9773 |
| Mailing Address |
5099 W. Cortland Avenue Fresno CA 93722 |
| Practice Telephone | 5593134012 |
| Mailing Telephone | 5593134012 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |
| Authorized Official Name | MRS. JENNIE GARCIA HERNANDEZ-DUARTE (PHYSICAL THERAPIST ASSISTANT) |
| Authorized Official Telephone | 5593134012 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | AT2741 | CA | Agencies |
| Other Name | Type Code |
|---|---|
| supplemental Health Care | Doing Business As Name - Organization |
| 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 |
| 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 |
| 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 |
5099 W CORTLAND AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-9773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790956654 | Genesis Family Center | Public Health or Welfare | 83 E Shaw Ave Ste 100, Fresno, CA 93710-7616 | 2008-03-19 |
| 1609093483 | Family Builders Foster Care Agency, Inc | Public Health or Welfare | 2499 W Shaw Ave, Fresno, CA 93711-3329 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429390 | The Health Trust | Public Health or Welfare | 46 Race St, San Jose, CA 95126-3130 | 2020-08-26 |
| 1396365003 | Hr Support Inc | Public Health or Welfare | 6143 Mount Diablo Ct, Castro Valley, CA 94552-1948 | 2020-04-22 |
| 1811516610 | Fabian Sanchez | Public Health or Welfare | 1940 Nice Dr Apt 106, Corona, CA 92882-4584 | 2020-04-11 |
| 1528695319 | Central Coast Veterans Associates LLC | Public Health or Welfare | 1890 Diablo Drive, San Luis Obispo, CA 93405-4762 | 2020-03-24 |
| 1548893654 | Transitional Nutrition LLC | Public Health or Welfare | 741 Jackson St, Albany, CA 94706-1134 | 2020-02-17 |
| 1639723760 | Matthew Schultzel Do and Douglas Sullivan PC | Public Health or Welfare | 477 N El Camino Real Ste A308, Encinitas, CA 92024-1350 | 2019-07-26 |
| 1760048086 | Info Line of San Diego | Public Health or Welfare | 3860 Calle Fortunada Ste 101, San Diego, CA 92123-4802 | 2019-05-13 |
| 1629548615 | Mojo Enterprises Inc. | Public Health or Welfare | 1004 Emerson St, Palo Alto, CA 94301-2416 | 2018-12-03 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| 1215429188 | National Health Foundation | Public Health or Welfare | 515 S Figueroa St Ste 1300, Los Angeles, CA 90071-3300 | 2018-06-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUPPLEMENTAL HEALTH CARE.
| 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.