SUPPLEMENTAL HEALTH CARE NPI 1902129653

NPI Information

  • NPI: 1902129653
  • Provider Name: SUPPLEMENTAL HEALTH CARE
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 11960 WESTLINE INDUSTRIAL DR
    SUITE 201
    SAINT LOUIS, MO
    ZIP 63146
  • Phone: (866) 433-9555

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NPI Details

SUPPLEMENTAL HEALTH CARE is an adult care home custodial care facility in Saint Louis, MO. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. SUPPLEMENTAL HEALTH CARE NPI is 1902129653. The provider is registered as an organization entity type.

The provider's business location address is:

11960 WESTLINE INDUSTRIAL DR
SUITE 201
SAINT LOUIS, MO
ZIP 63146-209
Phone: (866) 433-9555
Fax: (314) 275-7444

The provider's authorized official is Dan Riddle .
The authorized official title is Recruiting Manager and has the following contact phone number (866) 433-9555.

The enumeration date for this NPI number is 3/9/2010 and was last updated on 3/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care Home117346MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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