Supreme Care Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SUPREME CARE HOSPICE INC

Practice address

650 Hobson Way Ste 304
Oxnard, CA 93030-6712

Phone

(805) 978-5353

Fax

(805) 978-5330

NPI assigned

Sep 10, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dmitry Uchitel

Title

Compliance Officer

Phone

(818) 281-7946

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1003465345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HOBSON WAY STE 304",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306712",
            "telephone_number": "805-978-5353",
            "fax_number": "805-978-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HOBSON WAY STE 304",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306712",
            "telephone_number": "805-978-5353",
            "fax_number": "805-978-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "UCHITEL",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "818-281-7946"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Supan
• Valerie Elizabeth Supan, LCSW
• Superior Mobility, Inc.
• Kenneth Supin
• Kristine Supple, PA
• Anagha Suresh, M.D.
• Gurrehma Suri
• Snyrrah Surjanto
• Lydia Dharshini Suryakumar, MD
• Susan Pembroke

• All providers in Oxnard, CA
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.