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SUPPLEMENTAL HEALTH CARE
NPI 1902129653
Custodial Care Facility - Adult Care Home in Saint Louis, MO

Active since March 09, 2010
11960 WESTLINE INDUSTRIAL DR, SUITE 201, SAINT LOUIS, MO 63146(866) 433-9555(314) 275-7444 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Supplemental Health Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPPLEMENTAL HEALTH CARE (NPI 1902129653) is a healthcare organization registered as an adult care home in Saint Louis, Missouri and active in the NPI registry since March 2010. The organization lists Dan Riddle, Recruiting Manager, as its authorized official.

NPPES Registry Identity

NPI1902129653
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSUPPLEMENTAL HEALTH CARE
Location Address11960 WESTLINE INDUSTRIAL DR, SUITE 201Saint Louis, MO 63146-3209
Mailing Address11960 Westline Industrial Dr, Suite 201Saint Louis, MO 63146-3209 · Fax (314) 275-7444
Phone(866) 433-9555
Fax(314) 275-7444
Organization SubpartNo
Authorized OfficialDan RiddleRecruiting Manager · (866) 433-9555
Enumeration DateMarch 9, 2010
✔ NPI 1902129653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in MO · 117346
Definition
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.
11960 WESTLINE INDUSTRIAL DR, Saint Louis, MO 63146
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEMETRICES CARTER JR. RRT
Respiratory Therapist, Registered (Critical Care)
11960 WESTLINE INDUSTRIAL DR
SAINT LOUIS, MO 63146
St. Louis County (314) 275-7444
ANDREA NOELL MOORE
Occupational Therapy Assistant
11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146
St. Louis County (314) 819-0480
DONNA BUCKLAND GALLEN OTR
Occupational Therapist
11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146
St. Louis County (314) 819-0480
MODENA JEAN MOLEN MA CCC SLP
Speech-Language Pathologist
11960 WESTLINE INDUSTRIAL DR, SUITE #201
SAINT LOUIS, MO 63146
St. Louis County (314) 819-0480
ERICA SPENCER M.S., SSP
Psychologist (School)
11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146
St. Louis County (314) 819-0480
MRS. LINDA LEE VIGGERS PTA
Physical Therapy Assistant
11960 WESTLINE INDUSTRIAL DR, SUITE 201
SAINT LOUIS, MO 63146
St. Louis County (866) 433-9555
TYRELL SCURLOCK
Contractor
11960 WESTLINE INDUSTRIAL DR, 201
SAINT LOUIS, MO 63146
St. Louis County (314) 575-8163
MS. MIRIAM ALINE BRINLEY OTR/L
Occupational Therapist
11960 WESTLINE INDUSTRIAL DR, STE 201
SAINT LOUIS, MO 63146
St. Louis County (866) 433-9555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supplemental Health Care's NPI number?

The NPI number for Supplemental Health Care is 1902129653. It was assigned to this organization in the NPPES registry on March 9, 2010.

Where is Supplemental Health Care located?

Supplemental Health Care is located at 11960 Westline Industrial Dr Suite 201, Saint Louis, MO 63146. The listed phone number is (866) 433-9555.

What is Supplemental Health Care's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Supplemental Health Care was last updated on March 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.