NPIMap

Organization Active NPI

Supplemental Healthcare

  • Skilled Nursing Facility
  • Denver, CO
National Provider Identifier
1871899302
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
12111157 Issued in CO
Legal business name
SUPPLEMENTAL HEALTHCARE
Practice address
9029 E Mississippi Ave Apt R302
Denver, CO 80247-6867
Phone
(815) 793-4092
NPI assigned
Jan 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Kristen RimmerNPI 1366832982
Title
Speech-Language Pathologist
Phone
(815) 793-4092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 12111157 CO Primary

Addresses

Primary practice location

9029 E Mississippi Ave Apt R302
Denver, CO 80247-6867

Mailing address

9029 E Mississippi Ave Apt R302
Denver, CO 80247-6867

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1871899302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9029 E MISSISSIPPI AVE APT R302",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802476867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9029 E MISSISSIPPI AVE APT R302",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802476867",
            "telephone_number": "815-793-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "RIMMER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "815-793-4092"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "12111157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.