Organization Active NPI

Supreme Healthcare System Inc

  • Home Health Agency
  • Powder Springs, GA
National Provider Identifier
1396524534
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPREME HEALTHCARE SYSTEM INC
Doing business as
MALLAMBY HOMECARE SERVICES
Practice address
2234 Chaseford LN
Powder Springs, GA 30127-5639
Phone
(404) 483-4438
NPI assigned
Sep 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Dr. Zinny Akunna Lambert, RNNPI 1649918590
Title
Director
Phone
(678) 851-4615

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2234 Chaseford LN
Powder Springs, GA 30127-5639

Mailing address

2234 Chaseford LN
Powder Springs, GA 30127-5639
Phone (404) 483-4438

Other identifiers 1

IdentifierTypeStateIssuer
1649918590OtherGANPPES NPI REGISTRY

Other names 1

  • MALLAMBY HOMECARE SERVICES Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1396524534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 CHASEFORD LN",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275639",
            "telephone_number": "404-483-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2234 CHASEFORD LN",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275639",
            "telephone_number": "404-483-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HEALTHCARE SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "ZINNY",
        "authorized_official_middle_name": "AKUNNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-851-4615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES NPI REGISTRY",
            "identifier": "1649918590",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MALLAMBY HOMECARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.