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Contact Information

SUPPLEMENTAL HEALTHCARE
1120 N TOWN CENTER DR STE 120
LAS VEGAS, NV89144-6302
 Phone: 999-999-9999
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
 

Rehabilitation Hospital

283X00000X A0[7] Hospital-Rehabilitation (PPS excluded)
Indicates primary specialty

NPI Profile & details for SUPPLEMENTAL HEALTHCARE

NPI Number 1154604700
LBN Legal business name SUPPLEMENTAL HEALTHCARE
Authorized official BRAIN KAISERMAN - (SUPERVISOR/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2011
Last updated 09/21/2011 - About 15 years ago
Identifiers
NV License # RC1676
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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