SUPPLEMENTAL HEALTHCARE NPI 1902145766

NPI Information

  • NPI: 1902145766
  • Provider Name: SUPPLEMENTAL HEALTHCARE
  • Classification: Rehabilitation Hospital - 283X00000X
  • Entity Type: Organization
  • Address: 4720 E COTTON GIN LOOP
    PHOENIX, AZ
    ZIP 85040
  • Phone: (602) 567-9881

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NPI Details

SUPPLEMENTAL HEALTHCARE is a rehabilitation hospital in Phoenix, AZ. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. SUPPLEMENTAL HEALTHCARE NPI is 1902145766. The provider is registered as an organization entity type.

The provider's business location address is:

4720 E COTTON GIN LOOP
PHOENIX, AZ
ZIP 85040-823
Phone: (602) 567-9881

The provider's authorized official is Jacqueline Smith .
The authorized official title is Occupational Therapy Assistant and has the following contact phone number (602) 567-9881.

The enumeration date for this NPI number is 2/13/2013 and was last updated on 2/13/2013.

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
1283X00000XRehabilitation Hospital4186ARIZONAYes

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: 3/30/2025

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