Organization Active NPI

Supreme Heros Homecare LLC

  • Home Health Agency
  • Sharon Hill, PA
National Provider Identifier
1356949754
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPREME HEROS HOMECARE LLC
Practice address
800 Chester Pike Ste 612
Sharon Hill, PA 19079-1400
Phone
(610) 439-9934
NPI assigned
Oct 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Schaneen Alexander
Title
Owner
Phone
(267) 235-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

800 Chester Pike Ste 612
Sharon Hill, PA 19079-1400

Mailing address

800 Chester Pike Ste 612
Sharon Hill, PA 19079-1400
Phone (610) 439-9934

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2207397Supreme Heros Homecare, LLC800 Chester Pike Ste 612, Sharon Hill, PA 19079Certificate of waiverDec 27, 2026

National Provider Directory

National Provider Directory

Locations

2009 Elmwood Ave
Ste O-110
Sharon Hill, PA 19079

800 Chester Pike
Ste 612
Sharon Hill, PA 19079
Phone (610) 439-9934

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1356949754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CHESTER PIKE STE 612",
            "city": "SHARON HILL",
            "state": "PA",
            "postal_code": "190791400",
            "telephone_number": "610-439-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CHESTER PIKE STE 612",
            "city": "SHARON HILL",
            "state": "PA",
            "postal_code": "190791400",
            "telephone_number": "610-439-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HEROS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "SCHANEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-235-6161"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.