Supplemental Healthcare

LBN: Supplemental Healthcare
Supplemental Healthcare is an health care organization with primary practice located at 319 Vancouver Drive Apartment 38G, Fayetteville NC 28303. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Supplemental Healthcare can be contacted via phone (347) 447-1868, or through Harvin, Cherrelle via phone (984) 444-9903.

Contact Information

Primary practice address
319 Vancouver Drive Apartment 38G Fayetteville NC 28303
Phone: (347) 447-1868
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harvin, Cherrelle
Phone: (984) 444-9903

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1831625037
LBN Legal business name Supplemental Healthcare
DBA Doing business as
Authorized official Harvin, Cherrelle
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2017
Last updated May 8th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831625037 NPPES
North Carolina MEDICAID 1

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