Supplemental Healthcare

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SUPPLEMENTAL HEALTHCARE

Practice address

4620 N Braeswood Blvd Apt 52
Houston, TX 77096-2847

Phone

(832) 878-1522

Fax

(832) 516-8063

NPI assigned

May 31, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Teresa Johnson, BS

Title

Physical Therapist Assistant

Phone

(832) 878-1522

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1376837922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 N BRAESWOOD BLVD APT 52",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770962847",
            "telephone_number": "832-878-1522",
            "fax_number": "832-516-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N BRAESWOOD BLVD APT 52",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770962847",
            "telephone_number": "832-878-1522",
            "fax_number": "832-516-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "832-878-1522",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marisa Suppatkul, M.D.
• Supplemental Health Care
• Supplemental Healthcare
• Supply Medical USA, LLC
• Support Services de Elgiga LLC (De Elgiga Consultancy)
• Support Systems EMS Inc
• Supported Behavior, LLC

• Case Management Agency in Houston, TX
• Providers in Houston, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.