Supplemental Health Care

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

834554751 Issued in NY

Legal business name

SUPPLEMENTAL HEALTH CARE

Practice address

6851 Caddo Lake LN
Houston, TX 77083-3505

Phone

(347) 265-0067

NPI assigned

Sep 12, 2015

Last updated

Sep 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leesha Bush

Title

Director of Recruitment

Phone

(214) 462-7077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442016000000",
    "number": "1316315989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 CADDO LAKE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770833505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 CADDO LAKE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770833505",
            "telephone_number": "347-265-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-12",
        "last_updated": "2015-09-12",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "LEESHA",
        "authorized_official_title_or_position": "DIRECTOR OF RECRUITMENT",
        "authorized_official_telephone_number": "214-462-7077"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "834554751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supervista North America (brillen.com)
• Supervista North America (brillen.com #024137)
• Supervista North America (brillen.com)
• Daniel Edward Supkis Jr., MD
• Marisa Suppatkul, M.D.
• Supplemental Healthcare
• Supplemental Healthcare
• Supply Medical USA, LLC
• Support Services de Elgiga LLC (De Elgiga Consultancy)
• Support Systems EMS Inc

• General Acute Care Hospital in Houston, TX
• Providers in Houston, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; 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.