Supplemental Specialists

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SUPPLEMENTAL SPECIALISTS

Practice address

7665 Easterly LN
Memphis, TN 38125-4313

Phone

(901) 414-0208

NPI assigned

Jun 13, 2014

Organization subpart

No

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

Authorized official

Name

Angela Hilson

Title

Executive Director

Phone

(901) 414-0208

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1790199180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 EASTERLY LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7665 EASTERLY LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254313",
            "telephone_number": "901-414-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "HILSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-414-0208"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Home Care LLC
• Superior Home Care Services Inc
• Superior Home Health & Wellness
• Superior Smiles of Memphis, LLC
• Superiorcare Care Homes
• Supplies Etc
• Support Solutions of Arkansas
• Support Solutions of Tennessee
• Support Solutions of the Mid-South
• Supportive & Secure Home Care

• Specialist in Memphis, TN
• Providers in Memphis, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.