NPIMap

Organization Active NPI

Supplemental Healthcare

  • Nursing Care Agency
  • Centennial, CO
National Provider Identifier
1053558668
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
168957 Issued in CO
Legal business name
SUPPLEMENTAL HEALTHCARE
Practice address
7200 S Alton Way
Suite, 250
Centennial, CO 80112-2201
Phone
(720) 488-9040
NPI assigned
Jan 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Misty Varone
Title
Personal Manager
Phone
(720) 488-9040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 168957 CO Primary

Addresses

Primary practice location

7200 S Alton Way
Suite, 250
Centennial, CO 80112-2201

Mailing address

7200 S. Alton Way
Suite 250
Centennial, CO 80112-2201

National Provider Directory

National Provider Directory

Locations

7200 S Alton Way
Ste 250
Centennial, CO 80112
Phone (720) 488-9040

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1053558668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 S. ALTON WAY",
            "address_2": "SUITE 250",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 S ALTON WAY",
            "address_2": "SUITE, 250",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122201",
            "telephone_number": "720-488-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "VARONE",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "PERSONAL MANAGER",
        "authorized_official_telephone_number": "720-488-9040"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CO",
            "license": "168957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.