Supplemental Healthcare

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUPPLEMENTAL HEALTHCARE

Practice address

319 Vancouver Drive
Apartment 38G
Fayetteville, NC 28303

Phone

(347) 447-1868

NPI assigned

May 8, 2017

Last updated

May 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cherrelle Harvin

Title

Recruiting Coordinator

Phone

(984) 444-9903

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Anthony Ralph Martin, COTA

  • Occupational Therapy Assistant
  • Fayetteville, NC
  • NPI 1558870246
  NPD (past)

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1831625037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 VANCOUVER DR",
            "address_2": "APARTMENT 38G",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035785",
            "telephone_number": "347-447-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 VANCOUVER DRIVE",
            "address_2": "APARTMENT 38G",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28303",
            "telephone_number": "347-447-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "HARVIN",
        "authorized_official_first_name": "CHERRELLE",
        "authorized_official_title_or_position": "RECRUITING COORDINATOR",
        "authorized_official_telephone_number": "984-444-9903"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise Specialty Clinic (The Dixie Center)
• Sunrise Specialty Clinic (the dixie center)
• Sunrise Specialty Clinic, Inc
• Sunshine Pediatrics
• Sunshine Pediatrics of NC PLLC
• Supreme Investments,LLC (Supreme Choice Healthcare)
• Supreme Standard Peer Support and Wellness Inc.
• Surajit Chaudhuri MD PA
• Sure Modes of Everyday Transportation LLC
• Suren Paravyan, DMD, MD, MSD, PA (Sandhills Endodontics)

• Skilled Nursing Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.