Supreme Intervention Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

2500 Issued in LA

Legal business name

SUPREME INTERVENTION CENTER

Practice address

1114 Jackson St
Monroe, LA 71202-2024

Phone

(318) 323-4710

Fax

(318) 323-3855

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Emily B. Winston, R.N.

Title

Trustee

Phone

(318) 325-8863

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stepping Stones Adult Day Health Care Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154428373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3141",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712103141",
            "telephone_number": "318-323-4710",
            "fax_number": "318-323-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022024",
            "telephone_number": "318-323-4710",
            "fax_number": "318-323-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME INTERVENTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINSTON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "318-325-8863",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "LA",
            "license": "2500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT DAY HEALTH CARE",
            "identifier": "1627836",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stepping Stones Adult Day Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Otisha Charmetric Summers
• Supreme Home Health Services Inc
• Supreme Home Health Services Inc
• Supreme Home Health Services, Inc
• Supreme Home Health Services, Inc
• Sean Alexander Surber
• Elvis Surles, OD
• Amanda Sutton
• Fernita Sutton
• Elizabeth Swanner, RD,LDN

• Adult Day Care Clinic/Center in Monroe, LA
• Providers in Monroe, LA by specialty
• Adult Day Care Clinic/Center in Louisiana

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