Supreme Choice Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPREME CHOICE HOME CARE, LLC

Practice address

52 Teri Cir Apt 136
Westbrook, ME 04092-3983

Phone

(207) 632-6873

NPI assigned

Sep 15, 2020

Last updated

Nov 22, 2020By 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

Ahmed Raad Hadi

Title

Owner

Phone

(207) 632-6873

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606003200000",
    "number": "1033724083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 TERI CIR APT 136",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923983",
            "telephone_number": "207-632-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 TERI CIR APT 136",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923983",
            "telephone_number": "207-632-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME CHOICE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A",
        "authorized_official_last_name": "HADI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "RAAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-632-6873"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Longley Stromgren, LMSW-CC
• Robert A Sturges, MD
• Susan Sullivan, CCS2861, LC3877,
• Elizabeth Kasny Sundborg, FNP
• Alia Frederick Sunderraj, OTR/L
• Supreme Comfort Hearing Aid Centers (Supreme Hearing AIDS)
• Amanda Elizabeth Swanson, LMSW-CC
• Synaptic Chiropractic, PA
• Synapticdc, LLC (Synaptic Chiropractic PA)
• Molly Tarr

• Home Health Agency in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Home Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2020; 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.