NPIMap

Organization Active NPI

Supplemental Healthcare

  • Rehabilitation Hospital Unit
  • Phoenix, AZ
National Provider Identifier
1508004219
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
3470 Issued in AZ
Legal business name
SUPPLEMENTAL HEALTHCARE
Practice address
4720 E Cotton Gin Loop
Ste. 140
Phoenix, AZ 85040-8858
Phone
(602) 567-9881
NPI assigned
Feb 3, 2009
Last updated
Feb 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Marjorie Kinder
Title
Physical Therapist
Phone
(602) 567-9881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 3470 AZ Primary

Addresses

Primary practice location

4720 E Cotton Gin Loop
Ste. 140
Phoenix, AZ 85040-8858

Mailing address

4720 E. Cotton Gin Loop
Ste. 140
Phoenix, AZ 85040
Phone (602) 567-9881

National Provider Directory

National Provider Directory
Tax ID family
Supplmental Health Care42 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

Locations

4720 E Cotton Gin Loop
Ste 140
Phoenix, AZ 85040
Phone (602) 567-9881

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1508004219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 E. COTTON GIN LOOP",
            "address_2": "STE. 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85040",
            "telephone_number": "602-567-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 E COTTON GIN LOOP",
            "address_2": "STE. 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408858",
            "telephone_number": "602-567-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "KINDER",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "602-567-9881"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "AZ",
            "license": "3470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.