Supreme Home Health Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPREME HOME HEALTH SERVICES INC.

Practice address

7334 Topanga Canyon Blvd
Suite 111
Canoga Park, CA 91303-1268

Phone

(818) 703-0086

NPI assigned

Nov 13, 2007

Last updated

May 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolina Dias Vaca

Title

Ceo

Phone

(818) 703-0086

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1417137985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7334 TOPANGA CANYON BLVD",
            "address_2": "SUITE 111",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7334 TOPANGA CANYON BLVD",
            "address_2": "SUITE 111",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031268",
            "telephone_number": "818-703-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HOME HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "DIAS VACA",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-703-0086"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.