Organization Active NPI

Supreme Home Health Services, Inc.

  • Home Health Agency
  • Duncanville, TX
National Provider Identifier
1043393259
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
005116 Issued in TX
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

Updated by the provider on Feb 3, 2025

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0912308Supreme Home Health Services, Inc407 N Cedar Ridge Drive Suite 220, Duncanville, TX 75116Certificate of waiverDec 12, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.