Active NPI
Supreme Home Health Services, Inc.
- Home Health Agency
- Duncanville, TX
National Provider Identifier
1043393259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 005116
- Legal business name
- SUPREME HOME HEALTH SERVICES, INC.
- Practice address
- 407 N Cedar Ridge Drive
Suite 220
Duncanville, TX 75116-3169 - Phone
- (972) 228-3444
- Fax
- (972) 228-3903
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Peninnah Boyonumu Ihemelu, RN
- Title
- Adm/Don
- Phone
- (972) 228-3444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 005116 | TX | Primary |
Addresses
Primary practice location
407 N Cedar Ridge Drive
Suite 220
Duncanville, TX 75116-3169
Mailing address
407 N Cedar Ridge Drive
Suite 220
Duncanville, TX 75116-3169
Phone (972) 228-3444
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0912308 | Supreme Home Health Services, Inc | Certificate of waiver | Dec 12, 2026 |
National Provider Directory
National Provider DirectoryLocations
4575 S Westmoreland Rd
Dallas, TX 75237
Phone (214) 467-3880
407 N Cedar Ridge Dr
Ste 220
Duncanville, TX 75116
Phone (214) 467-3880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738540800000",
"number": "1043393259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 N CEDAR RIDGE DRIVE",
"address_2": "SUITE 220",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751163169",
"telephone_number": "972-228-3444",
"fax_number": "972-228-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 N CEDAR RIDGE DRIVE",
"address_2": "SUITE 220",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751163169",
"telephone_number": "972-228-3444",
"fax_number": "972-228-3903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPREME HOME HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2025-02-03",
"status": "A",
"authorized_official_last_name": "IHEMELU",
"authorized_official_first_name": "PENINNAH",
"authorized_official_middle_name": "BOYONUMU",
"authorized_official_title_or_position": "ADM/DON",
"authorized_official_telephone_number": "972-228-3444",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "005116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duncanville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.