Supreme Patient Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPREME PATIENT CARE INC

Practice address

2880 W Oakland Park Blvd
Suite 125 C
Oakland Park, FL 33311-1354

Phone

(267) 716-3333

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Vladimir Dubrovin

Title

President

Phone

(267) 716-3333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1194997056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 W OAKLAND PARK BLVD",
            "address_2": "SUITE 125 C",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111354",
            "telephone_number": "267-716-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 W OAKLAND PARK BLVD",
            "address_2": "SUITE 125 C",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111354",
            "telephone_number": "267-716-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME PATIENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "DUBROVIN",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-716-3333"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.