NPIMap

Organization Active NPI

Supreme Personal Home Care

  • Assisted Living Facility
  • Richmond, TX
National Provider Identifier
1083862999
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
103236 Issued in TX
Legal business name
SUPREME PERSONAL HOME CARE
Practice address
7302 Chasegrove
Richmond, TX 77407
Phone
(281) 650-0450
NPI assigned
Sep 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Ms. Mopelola Bunmi Adebo
Title
Administrator
Phone
(281) 650-0450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 103236 TX Primary

Addresses

Primary practice location

7302 Chasegrove
Richmond, TX 77407

Mailing address

7302 Chasegrove Lane
Richmond, TX 77469
Phone (281) 238-0502

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1083862999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7302 CHASEGROVE LANE",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77469",
            "telephone_number": "281-238-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7302 CHASEGROVE",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "281-650-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME PERSONAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "ADEBO",
        "authorized_official_first_name": "MOPELOLA",
        "authorized_official_middle_name": "BUNMI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-650-0450",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "103236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.