NPIMap

Organization Active NPI

Supplemental Health Care

  • Skilled Nursing Facility
  • Wampum, PA
National Provider Identifier
1689002263
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5386 Issued in SC
Legal business name
SUPPLEMENTAL HEALTH CARE
Practice address
161 Pope Dr
Wampum, PA 16157-3521
Phone
(724) 535-3162
NPI assigned
Oct 17, 2013
Last updated
Oct 17, 2013By the provider in NPPES
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
Miss Holly Mathis
Title
Staffing Manager
Phone
(866) 571-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5386 SC Primary

Addresses

Primary practice location

161 Pope Dr
Wampum, PA 16157-3521

Mailing address

4401 Belle Oaks Dr
N Charleston, SC 29405-8537

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

4401 Belle Oaks Dr
North Charleston, SC 29405
Phone (304) 282-1488

Practitioners & affiliated clinicians

Practitioners 5

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.

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": "1689002263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 BELLE OAKS DR",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294058537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 POPE DR",
            "city": "WAMPUM",
            "state": "PA",
            "postal_code": "161573521",
            "telephone_number": "724-535-3162"
        }
    ],
    "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",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "5386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wampum, PA

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.