Organization Active NPI

Supreme Care Adult Center

  • Adult Day Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1356749246
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SUPREME CARE ADULT CENTER
Practice address
4033 Shilling Way
Dallas, TX 75237-1009
Phone
(214) 554-1569
NPI assigned
Dec 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Mrs. Evette Y Hunter
Title
Director
Phone
(214) 554-1569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X TX Primary

Addresses

Primary practice location

4033 Shilling Way
Dallas, TX 75237-1009

Mailing address

4033 Shilling Way
Dallas, TX 75237-1009
Phone (214) 554-1569

National Provider Directory

National Provider Directory

Locations

4033 Shilling Way
Dallas, TX 75237
Phone (214) 554-1569

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1356749246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 SHILLING WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752371009",
            "telephone_number": "214-554-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 SHILLING WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752371009",
            "telephone_number": "214-554-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME CARE ADULT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "EVETTE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-554-1569",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.