NPIMap

Organization Active NPI

Supplemental Health Care

  • Registered Respiratory Therapist
  • Union, SC
National Provider Identifier
1386072940
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
5425 Issued in SC
Legal business name
SUPPLEMENTAL HEALTH CARE
Practice address
539 Union Blvd
Union, SC 29379-2940
Phone
(864) 466-2118
NPI assigned
Oct 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Holly Mathis
Title
Staffing Manager
Phone
(866) 571-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 227900000X 5425 SC Primary

Addresses

Primary practice location

539 Union Blvd
Union, SC 29379-2940

Mailing address

539 Union Blvd
Union, SC 29379-2940

National Provider Directory

National Provider Directory
Tax ID family
Supplemental42 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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1386072940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 UNION BLVD",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 UNION BLVD",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792940",
            "telephone_number": "864-466-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "STAFFING MANAGER",
        "authorized_official_telephone_number": "866-571-2700"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": "SC",
            "license": "5425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.