Organization Active NPI

Supreme Home Healthcare Services LLC

  • Home Health Agency
  • Lowell, MA
National Provider Identifier
1033666805
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPREME HOME HEALTHCARE SERVICES LLC
Practice address
694 Merrimack St
Lowell, MA 01854-3915
Phone
(510) 205-5422
Fax
(978) 667-9742
NPI assigned
Sep 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

Name
Micheal Tembo, BSC. BUSINESS/NURSE
Title
Manager
Phone
(510) 205-5422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

694 Merrimack St
Lowell, MA 01854-3915

Mailing address

694 Merrimack St
Lowell, MA 01854-3915
Phone (510) 205-5422

National Provider Directory

National Provider Directory

Locations

694 Merrimack St
Lowell, MA 01854
Phone (510) 205-5422

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1033666805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543915",
            "telephone_number": "510-205-5422",
            "fax_number": "978-667-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543915",
            "telephone_number": "510-205-5422",
            "fax_number": "978-667-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HOME HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "TEMBO",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "510-205-5422",
        "authorized_official_credential": "BSC. BUSINESS/NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.