SUPPLEMENTAL HEALTH CARE (NPI# 1720303365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720303365 |
| Entity Type | Organization |
| Organization Name | SUPPLEMENTAL HEALTH CARE |
| Practice Address |
32254 Beacon Ln Fraser MI 48026-2162 |
| Practice Telephone | 5862965532 |
| Mailing Telephone | 5862965532 |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-04-06 |
| Authorized Official Name | MRS. ARIS WOODROOFE (RECURTING MANAGER) |
| Authorized Official Telephone | 8884147056 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
5502002339 | MI | Ambulatory Health Care Facilities |
| 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 |
32254 BEACON LN |
| City | FRASER |
| State | MI |
| Zip Code | 48026-2162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416258 | Sandra Marie Delaney | Day Training, Developmentally Disabled Services | 18640 E. 14 Mile, A5, Fraser, MI 48026 | 2018-11-21 |
| 1215406624 | Fraser Rx Pharmacy LLC | Pharmacy | 16861 E 14 Mile Rd., Fraser, MI 48026 | 2018-11-14 |
| 1457507519 | Michael Richard Abood | Dentist | 16128 15 Mile, Suite 4, Fraser, MI 48026 | 2008-08-08 |
| 1316095342 | Martha Sue Vaneenenaam-iwanicki | Specialist/Technologist | Fraser High School, 34270 Garfield, Fraser, MI 48026 | 2007-01-08 |
| 1962578674 | David Henry Luehmann | Dentist | 32245 Utica Rd, Fraser, MI 48026 | 2006-11-27 |
| 1447326244 | Fraser Optical Clinic, Inc. | Eyewear Supplier (Equipment, not the service) | 32925 Groesbeck Highway, Fraser, MI 48026 | 2006-11-27 |
| 1699849885 | Luis Collazo | Family Medicine | 31022 Utica Rd., Fraser, MI 48026 | 2006-11-20 |
| 1780753467 | Leigh Ellen Snyder | Dentist | 16869 Fourteen Mile Rd, Fraser, MI 48026 | 2006-11-07 |
| 1942379631 | Bernadette Olameitan Osowa | Dentist | 16869 Fourteen Mile Road, Fraser, MI 48026 | 2006-11-07 |
| 1104920446 | Select Dental PC | Dentist | 16128 15 Mile Road, Suite 4, Fraser, MI 48026 | 2006-09-08 |
| Find all providers in zip 48026 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568836849 | Denver Health Alpine Clinic | Clinic/Center | 280 Zerex St, Fraser, CO 80442 | 2015-11-24 |
| 1821647413 | Kremmling Memorial Hospital District | Clinic/Center | 45 County Road 804, Fraser, CO 80442-0000 | 2019-09-06 |
| 1669977666 | Neetha Ajay Mathew | Clinic/Center | 33300 Utica Rd, Fraser, MI 48026-2017 | 2018-03-29 |
| 1275038143 | Deepti Rose Chorath | Clinic/Center | 33300 Utica Rd, Fraser, MI 48026-2017 | 2018-03-24 |
| 1134152010 | Occupational Health Centers of Michigan, P.C. | Clinic/Center | 33089 Groesbeck Hwy, Fraser, MI 48026-1501 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679485 | Thrive Physical Therapy | Clinic/Center | 835 Mason St Ste A245, Dearborn, MI 48124-2231 | 2020-11-06 |
| 1700484482 | Redford Physical Therapy LLC | Clinic/Center | 25136 W 6 Mile Rd, Redford, MI 48240-2102 | 2020-10-14 |
| 1740894500 | Sara Sue Laisure | Clinic/Center | 1105 E 8th St, Traverse City, MI 49686-2936 | 2020-08-31 |
| 1578176269 | Pro-line Physical Therapy, LLC | Clinic/Center | 25899 W 12 Mile Rd Ste 335, Southfield, MI 48034-8343 | 2020-08-24 |
| 1326650011 | Physical Therapy Center for Sports and Performing Arts, Pllc | Clinic/Center | 30475 Stephenson Hwy, Madison Heights, MI 48071-1615 | 2020-08-23 |
| 1770194607 | Restorative Rehabilitation Inc | Clinic/Center | 9228 Pelham Rd, Taylor, MI 48180-3832 | 2020-08-13 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1114537719 | Axpert Rehab Care, LLC | Clinic/Center | 22830 Kelly Rd, Eastpointe, MI 48021-2072 | 2020-08-07 |
| 1619586898 | Right Health, PC | Clinic/Center | 28345 Beck Rd Ste 412, Wixom, MI 48393-4745 | 2020-07-23 |
| 1497378368 | Launch Pediatric Rehab | Clinic/Center | 13448 Greenbriar Dr, Grand Haven, MI 49417-9161 | 2020-05-26 |
| 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.