NPIMap

Organization Active NPI

Supplemental Health Care

  • Skilled Nursing Facility
  • Hilton Head, SC
National Provider Identifier
1033540703
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4306 Issued in SC
Legal business name
SUPPLEMENTAL HEALTH CARE
Practice address
1 Stable Gate Rd
Hilton Head, SC 29926-1059
Phone
(803) 301-0643
NPI assigned
Dec 6, 2013
Last updated
Dec 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lauren Church
Title
RRT
Phone
(843) 301-0643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4306 SC Primary

Addresses

Primary practice location

1 Stable Gate Rd
Hilton Head, SC 29926-1059

Mailing address

1 Stable Gate Rd
Hilton Head, SC 29926-1059

National Provider Directory

National Provider Directory
Tax ID family
Supplemental Health Care42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1033540703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STABLE GATE RD",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299261059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STABLE GATE RD",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299261059",
            "telephone_number": "803-301-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "RRT",
        "authorized_official_telephone_number": "843-301-0643"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "4306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.