SUPPLEMANTAL HEALTH CARE SERVICES (NPI# 1356593743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356593743 |
| Entity Type | Organization |
| Organization Name | SUPPLEMANTAL HEALTH CARE SERVICES |
| Practice Address |
731 Truman Hwy Hyde Park MA 02136 |
| Mailing Address |
731 Truman Hwy Hyde Park MA 02136-3517 |
| Practice Telephone | 6174070592 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |
| Authorized Official Name | MR. LUIS E PACHECO (PHYSICAL THERAPIST ASSISTANT) |
| Authorized Official Telephone | 6174070592 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 7620 | MA | Residential Treatment Facilities |
| Street Address |
731 TRUMAN HWY |
| City | HYDE PARK |
| State | MA |
| Zip Code | 02136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952892564 | Dionne Latrice | Counselor | 695 Truman Pwky, Boston, MA 02136 | 2018-05-21 |
| 1134622426 | Light House Behavioral Health and Wellness Center Inc. | Community/Behavioral Health | 1 Westinghouse Plaza, A-216, Boston, MA 02136 | 2018-03-13 |
| 1396168795 | Living Well | Home Health | 53 Oak St, Hyde Park, MA 02136 | 2014-01-22 |
| 1891051074 | Marie Ronique Yilain | Licensed Practical Nurse | 59 Cromwell Rd, Hyde Park, MA 02136 | 2012-04-02 |
| 1033410543 | Stephanie Sabrina Seigle | Counselor | 5 Linden Ave, Hyde Park, MA 02136 | 2010-11-15 |
| 1699075747 | Jeffrey Meisner | Physical Therapist | 188 Providence Street, Boston Pain Clinic, Hyde Park, MA 02136 | 2010-10-22 |
| 1407023047 | Amy Elizabeth Delaney | Nurse Practitioner | 695 Truman Parkway, Suite 203, Hyde Park Pediatrics, Hyde Park, MA 02136 | 2008-05-13 |
| 1629254263 | Alla Urman | Nurse Practitioner | 1274 Hyde Park Ave, Hyde Park, MA 02136 | 2008-01-14 |
| 1912106980 | Marina Williams | Counselor | 1158 Hyde Park Ave, Hyde Park, MA 02136 | 2007-07-11 |
| 1184837999 | Nigel O'neal Best | Physical Therapy Assistant | 84 Tacoma St, Hyde Park, MA 02136 | 2007-05-08 |
| Find all providers in zip 02136 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225588494 | Afia Ayiwa-mensah | Residential Treatment Facility, Physical Disabilities | 58 Savoy Ave, Springfield, MA 01104-2008 | 2016-10-11 |
| 1245675776 | Preferred Adult Foster Care | Residential Treatment Facility, Physical Disabilities | 218 Shove St, Fall River, MA 02724-2018 | 2013-05-10 |
| 1376795781 | Advocates, Inc. | Residential Treatment Facility, Physical Disabilities | 7 Oakland Sreet, Lexington, MA 02420-3605 | 2008-10-16 |
| 1639337280 | Pine Street Inn, Inc. | Residential Treatment Facility, Physical Disabilities | 28 Rockwell St, Dorchester Center, MA 02124-4438 | 2008-05-30 |
| 1215491618 | Town of Petersham | Residential Treatment Facility, Physical Disabilities | 31 Spring St, Petersham, MA 01366 | 2019-01-30 |
| 1316483910 | New England Deaconess Association | Residential Treatment Facility, Physical Disabilities | 80 Deaconess Rd, Concord, MA 01742-4168 | 2017-01-06 |
| 1003285545 | Veteran Homestead, Inc. | Residential Treatment Facility, Physical Disabilities | 69 High St, Fitchburg, MA 01420-7508 | 2015-09-15 |
| 1962635847 | Uptown Physical Therapy | Residential Treatment Facility, Physical Disabilities | 668 Salem St, Malden, MA 02148-4363 | 2009-08-26 |
| 1639304926 | Meridians Centre for Massage, Inc. | Residential Treatment Facility, Physical Disabilities | 515 Bridge St, N Weymouth, MA 02191-1420 | 2009-05-15 |
| 1588843148 | Advocates, Inc. | Residential Treatment Facility, Physical Disabilities | 17 Warren Ave, Woburn, MA 01801-4936 | 2007-10-31 |
| Find all providers with the same taxonomy | ||||
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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.