NPIMap

Organization Active NPI

Supplemental Healthcare

  • Home Health Agency
  • Federal Way, WA
National Provider Identifier
1932487535
Registry record updated Jul 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
P160082801 Issued in WA
Legal business name
SUPPLEMENTAL HEALTHCARE
Practice address
1010 S 336TH St Ste 210
Federal Way, WA 98003-7354
Phone
(866) 835-8091
Fax
(888) 835-8091
NPI assigned
Jul 30, 2011
Last updated
Jul 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2011

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

Authorized official

Name
Mr. James Lorence
Title
Recruiting Coordinator
Phone
(866) 835-8091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X P160082801 WA Primary

Addresses

Primary practice location

1010 S 336TH St Ste 210
Federal Way, WA 98003-7354

Mailing address

1010 S 336TH St Ste 210
Federal Way, WA 98003-7354
Phone (866) 835-8091

National Provider Directory

National Provider Directory

Locations

1010 S 336th St
Ste 210
Federal Way, WA 98003
Phone (253) 835-8091

Practitioners & affiliated clinicians

Practitioners 80

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.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311984000000",
    "number": "1932487535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S 336TH ST STE 210",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037354",
            "telephone_number": "866-835-8091",
            "fax_number": "888-835-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S 336TH ST STE 210",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037354",
            "telephone_number": "866-835-8091",
            "fax_number": "888-835-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-30",
        "last_updated": "2011-07-30",
        "status": "A",
        "authorized_official_last_name": "LORENCE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "RECRUITING COORDINATOR",
        "authorized_official_telephone_number": "866-835-8091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "P160082801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.