Allsupreme Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001438 Issued in CA

Legal business name

ALLSUPREME HOME CARE INC

Practice address

13110 W Washington Blvd
Los Angeles, CA 90066-5126

Phone

(310) 273-8616

Fax

(310) 273-8282

NPI assigned

Nov 9, 2006

Last updated

May 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Andrea L Gandionco

Title

President

Phone

(310) 273-8616

Specialties & licenses 1

Addresses

Listed as

Allsupreme Home Care IncCCN 058191

Ownership

Proprietary

Certified

Jul 31, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1023188786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665126",
            "telephone_number": "310-273-8616",
            "fax_number": "310-273-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13110 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665126",
            "telephone_number": "310-273-8616",
            "fax_number": "310-273-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSUPREME HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "GANDIONCO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-273-8616",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.