Supplemental Health Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SUPPLEMENTAL HEALTH CARE

Practice address

4202 Old Oak Dr NE
Cedar Rapids, IA 52411-6772

Phone

(917) 495-6661

NPI assigned

Mar 4, 2010

Organization subpart

No

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

Authorized official

Name

Ami P Patel

Title

Physical Therapist

Phone

(917) 495-6661

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336462399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 OLD OAK DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524116772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 OLD OAK DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524116772",
            "telephone_number": "917-495-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-495-6661"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul J Sundell, PHD
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• Eric Sung, MD
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• Jennifer Surrett
• Patrick William Suttie
• Marie E. Svatek, M. D.
• Kelsey Swailes, PHARMD

• Community Based Hospice Care Agency in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Community Based Hospice Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.