SUPPLEMENTAL HEALTH CARE (NPI# 1982990529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982990529 |
| Entity Type | Organization |
| Organization Name | SUPPLEMENTAL HEALTH CARE |
| Practice Address |
330 Golden Shore Suite 250 Long Beach CA 90802 |
| Mailing Address |
Po Box 1352 Hermosa Beach CA 90254-1352 |
| Practice Telephone | 6264379624 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |
| Authorized Official Name | MISS LINDA ABELES (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 6264379624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283XC2000X |
Rehabilitation Hospital Specialization: Children |
10677 | CA | Hospitals |
| 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 |
330 GOLDEN SHORE SUITE 250 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083081756 | Chun Yip Yeung | Occupational Therapist | 330 Golden Shore, Suite 250, Long Beach, CA 90802 | 2015-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981791 | Nena Danieles Meador | Technician | 505 West 5th St. Unit 201, Long Beach, CA 90802 | 2019-09-17 |
| 1881241487 | Edward De La Cruz | Technician | 425 E 3rd St., 413, Long Beach, CA 90802 | 2019-08-20 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
| 1669998670 | Jessica Huerta | Student in an Organized Health Care Education/Training Program | 456 Elm, Long Beach, CA 90802 | 2017-08-22 |
| 1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1215472758 | Vanessa Pons | Marriage & Family Therapist | 735 W 4th St Unit A, Long Beach, CA 90802 | 2016-12-19 |
| 1821459330 | Surabhi Shah | Occupational Therapist | 330 Golden Shores, Suite 250, Long Beach, CA 90802 | 2016-03-10 |
| Find all providers in zip 90802 | ||||
| Taxonomy Code | 283XC2000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942335914 | Children's Recovery Center, I LLC | Rehabilitation Hospital | 3777 S. Bascom Ave, Campbell, CA 95008 | 2007-02-22 |
| 1174983811 | Vivian Yip | Rehabilitation Hospital | 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 | 2016-02-23 |
| 1184008229 | Rady Children's Hospital San Diego | Rehabilitation Hospital | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2015-07-18 |
| 1174907216 | Rady Children's Hospital San Diego | Rehabilitation Hospital | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2015-07-18 |
| 1093920993 | Children's Hospital Los Angeles | Rehabilitation Hospital | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2007-05-14 |
| City | LONG BEACH |
| Zip Code | 90802 |
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.