Supreme Health Systems Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SUPREME HEALTH SYSTEMS INC

Practice address

625 W Innes St Ste 101
Salisbury, NC 28144-4166

Phone

(704) 431-4385

Fax

(704) 603-4572

NPI assigned

Mar 18, 2021

Last updated

Mar 18, 2021By 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

Mr. Prince Kelechi Paul

Title

President

Phone

(704) 431-4385

Specialties & licenses 1

Addresses

Tax ID family

Mobility Concerns Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Supreme Health Systems Inc

  • In Home Supportive Care Agency
  • Charlotte, NC
  • NPI 1922524560
  NPD tax ID

Locations

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1174109417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W INNES ST STE 101",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444166",
            "telephone_number": "704-431-4385",
            "fax_number": "704-603-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W INNES ST STE 101",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444166",
            "telephone_number": "704-431-4385",
            "fax_number": "704-603-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_middle_name": "KELECHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-431-4385",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Zhonghui Sun, M.D.
• Sundance Rehabilitation Agency, Inc. (SunDance Raleigh Rehabilitation Agency)
• Superior Home Care, Inc
• Superior Home Care,Inc
• Superior Home Care,Inc
• Susan Hurt, PH.D., Clinical and Forensic Psychological Services, P.C. (Clinical and Forensic Psychological Services)
• Joseph B. Sutter, PH.D.
• Melinda Burch Swaim, R.PH.
• Arthur A Swanson, DDS
• Sandra L Swanson, M. D.

• In Home Supportive Care Agency in Salisbury, NC
• Providers in Salisbury, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.