Active NPI
Supreme Home Care, Inc.
- In Home Supportive Care Agency
- Wadesboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SUPREME HOME CARE, INC.
- Practice address
- 148 E Morgan St Ste B
Wadesboro, NC 28170-2202 - Phone
- (704) 294-5100
- Fax
- (704) 695-0694
- NPI assigned
- Jan 4, 2016
- Last updated
- Nov 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamara Lynae Garris
- Title
- Owner
- Phone
- (704) 695-0694
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | IHCP-0451 | SC | |
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
148 E Morgan St Ste B
Wadesboro, NC 28170-2202
Mailing address
148 E Morgan St Ste B
Wadesboro, NC 28170-2202
Phone (704) 695-0694
National Provider Directory
National Provider Directory- Tax ID family
- Supreme Home Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Monroe, NC
- NPI 1275334864
Locations
121 Chesterfield Hwy
Ste A
Cheraw, SC 29520
Phone (704) 294-5100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Agency
- Cheraw, SC
- NPI 1285058867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636070400000",
"number": "1396101523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 E MORGAN ST STE B",
"city": "WADESBORO",
"state": "NC",
"postal_code": "281702202",
"telephone_number": "704-695-0694",
"fax_number": "704-695-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 E MORGAN ST STE B",
"city": "WADESBORO",
"state": "NC",
"postal_code": "281702202",
"telephone_number": "704-294-5100",
"fax_number": "704-695-0694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPREME HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-04",
"last_updated": "2021-11-05",
"certification_date": "2021-09-01",
"status": "A",
"authorized_official_last_name": "GARRIS",
"authorized_official_first_name": "TAMARA",
"authorized_official_middle_name": "LYNAE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-695-0694"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "SC",
"license": "IHCP-0451",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wadesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.