Supreme Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPREME HOME CARE

Practice address

7620 W Center St Ste 201
Milwaukee, WI 53222-5083

Phone

(414) 935-2799

Fax

(414) 935-2603

NPI assigned

Sep 30, 2021

Organization subpart

No

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

Authorized official

Name

Nickisha Sims

Title

Administrator

Phone

(414) 635-7380

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1003588724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 W CENTER ST STE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532225083",
            "telephone_number": "414-935-2799",
            "fax_number": "414-935-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 W CENTER ST STE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532225083",
            "telephone_number": "414-935-2799",
            "fax_number": "414-935-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "NICKISHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-635-7380"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supportive Angels
• Supportive Care Family Home LLC
• Supportive Living Home Health Care
• Supportive Living Home Health Care
• Supportive Personal Care Services
• Sure Care Assisted Living
• Mary E Surges, OT
• Surgicenter of Greater Milwaukee, LLC
• Jerry Michael Suriano, D.O.
• Vladimir Suric

• Home Health Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.