SUPPLEMENTAL HEALTHCARE


Address: 200 Tulip Tree Ct, Easley, SC 29642-7600
Phone: 8646172584

SUPPLEMENTAL HEALTHCARE (NPI# 1477981199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477981199
Entity Type Organization
Organization Name SUPPLEMENTAL HEALTHCARE
Practice Address 200 Tulip Tree Ct
Easley
SC 29642-7600
Practice Telephone 8646172584
Mailing Telephone 8646172584
Enumeration Date 2013-10-15
Last Update Date 2013-10-15
Authorized Official Name HOLLY MATHIS (STAFFING MANAGER)
Authorized Official Telephone 8775712124
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility RCP5096 SC Nursing & Custodial Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831625037 Supplemental Healthcare Skilled Nursing Facility 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 2017-05-08
1376837922 Supplemental Healthcare Case Management 4620 N Braeswood Blvd Apt 52, Houston, TX 77096-2847 2011-05-31
1871899302 Supplemental Healthcare Skilled Nursing Facility 9029 E Mississippi Ave Apt R302, Denver, CO 80247-6867 2011-01-31
1376788166 Supplemental Healthcare Rehabilitation Hospital 333 Gellert Blvd Ste 150, Daly City, CA 94015-2690 2008-12-08
1144409640 Supplemental Healthcare Home Health 6033 Brookgreen Ct, Spartanburg, SC 29301-3547 2007-10-31
1982745022 Supplemental Healthcare General Acute Care Hospital 3040 Post Oak Blvd, Suite 1200, Houston, TX 77056-6500 2007-02-10
1619377785 Supplemental Healthcare Occupational Therapy Assistant 7320 Sw Hunziker St Ste 203, Tigard, OR 97223-2301 2014-08-26
1427489723 Supplemental Healthcare Local Education Agency (LEA) 551 5th Ave, Suite 1923, New York, NY 10176-0001 2013-12-11
1407281140 Supplemental Healthcare General Acute Care Hospital 6500 Rockside Rd, Ste. 240, Independence, OH 44131-2368 2013-09-12
1902145766 Supplemental Healthcare Rehabilitation Hospital 4720 E Cotton Gin Loop, Phoenix, AZ 85040-4823 2013-02-13

Office Location

Street Address 200 TULIP TREE CT
City EASLEY
State SC
Zip Code 29642-7600

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093316911 Marlesia Hall Licensed Practical Nurse 106 Teal Dr, Easley, SC 29642 2020-11-06
1437648904 Onsite Healthcare and Wellness LLC Nurse Practitioner 217 Sheffield Ct, Easley, SC 29642 2018-05-09
1477073476 Aubre True Specialist/Technologist 124 Century Oaks Dr, Easley, SC 29642 2017-06-21
1912439944 First Physical Therapy, LLC Clinic/Center 3613 Sc 153, Suite 200, Powdersville, SC 29642 2017-03-29
1801146485 Sara Michele Calvert Pharmacist 1063 South Pendleton Street, Easley, SC 29642 2012-09-11
1023365251 Heather Lilley Pharmacist 5251 Calhoun Memorial Hwy, Easley, SC 29642 2012-08-07
1942590088 Mallorie Bryan Costner Speech-Language Pathologist 507 Huntington Road, Easley, SC 29642 2011-04-11
1225352339 Jon Lawrence Rhoden Pharmacist 320 Watson Road, Easley, SC 29642 2010-03-18
1386865350 Gordon David Dannelly Dentist 701 Brushy Creek Road, Easley, SC 29642 2007-05-01
1538280755 Michelle Leigh Tucker Obstetrics & Gynecology 1351 Crestview Road, Easley, SC 29642 2007-04-03
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023558905 Dhec Nursing Facility/Intermediate Care Facility 319 Stephen Ct, Mullins, SC 29574-4223 2017-02-27
1114322476 National Healthcare Nursing Facility/Intermediate Care Facility 702 Autumn Oaks, Anderson, SC 29621-2686 2014-10-29
1720209604 Nurses Are Us Inc Nursing Facility/Intermediate Care Facility 3309 N Main St, Columbia, SC 29203-6432 2007-05-01
1255382107 Acts Retirement-life Communities, Inc. Nursing Facility/Intermediate Care Facility 3025 Chesbrough Blvd, Rock Hill, SC 29732 2006-05-15
1730174335 Ellen Sagar Nursing Home Nursing Facility/Intermediate Care Facility 1817 Jonesville Hwy, Union, SC 29379-9793 2005-09-20
1811428030 Nurse Practitioners of The Carolinas Nursing Facility/Intermediate Care Facility 10120 Two Notch Rd, Columbia, SC 29223-4395 2017-03-21
1598132714 Sc Dhec Nursing Facility/Intermediate Care Facility 2100 Bull St, Columbia, SC 29201-2104 2015-08-24
1992181812 Chp Tega Cay Sc Tenant Corp Nursing Facility/Intermediate Care Facility 111 Wellmore Dr, Tega Cay, SC 29708-0039 2015-08-03
1881079077 Sc Department of Health & Environmental Control Nursing Facility/Intermediate Care Facility 2600 Bull St, Columbia, SC 29201-1708 2015-07-29
1902057433 Active Day Inc. Nursing Facility/Intermediate Care Facility 2120 Enterprise Dr, Florence, SC 29501-1104 2008-10-02
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Competitor

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City EASLEY
Zip Code 29642

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Dataset Information

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.

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