Active NPI
Supplemental Health Care
- Adult Care Home Facility
- Northampton, MA
National Provider Identifier
1578855813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 2159
- Legal business name
- SUPPLEMENTAL HEALTH CARE
- Practice address
- 150 Riverbank Rd
Northampton, MA 01060-2517 - Phone
- (413) 206-8383
- NPI assigned
- May 4, 2011
- Last updated
- May 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Karen Prella, COTA/L
- Title
- Occupational Therapy Assitant
- Phone
- (413) 206-8383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 2159 | MA | Primary |
Addresses
Primary practice location
150 Riverbank Rd
Northampton, MA 01060-2517
Mailing address
150 Riverbank Rd
Northampton, MA 01060-2517
Phone (413) 206-8383
National Provider Directory
National Provider Directory- Tax ID family
- Supplemental Health Care
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304467200000",
"number": "1578855813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 RIVERBANK RD",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602517",
"telephone_number": "413-206-8383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 RIVERBANK RD",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602517",
"telephone_number": "413-206-8383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPLEMENTAL HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-04",
"last_updated": "2011-05-04",
"status": "A",
"authorized_official_last_name": "PRELLA",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "KAREN",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSITANT",
"authorized_official_telephone_number": "413-206-8383",
"authorized_official_credential": "COTA/L"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "MA",
"license": "2159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.