Organization Active NPI

Supreme Home Health Services

  • Home Health Agency
  • Rutherford, NJ
National Provider Identifier
1447582085
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0123200 Issued in NJ
Legal business name
SUPREME HOME HEALTH SERVICES
Practice address
71 Union Ave
Suite 207a
Rutherford, NJ 07070-1274
Phone
(201) 372-9600
Fax
(201) 372-9550
NPI assigned
Feb 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Ms. Sheryl Heffernan, REGISTERED NURSENPI 1447382536
Title
Director of Nursing
Phone
(201) 372-9600

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0123200 NJ Primary
In Home Supportive Care Agency 253Z00000X HP0123200 NJ

Addresses

Primary practice location

71 Union Ave
Suite 207a
Rutherford, NJ 07070-1274

Mailing address

71 Union Avenue
Suite 207a
Rutherford, NJ 07070
Phone (201) 372-9600

National Provider Directory

National Provider Directory

Locations

71 Union Ave
Ste 207A
Rutherford, NJ 07070
Phone (201) 372-9600

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": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1447582085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 UNION AVENUE",
            "address_2": "SUITE 207A",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "07070",
            "telephone_number": "201-372-9600",
            "fax_number": "201-372-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 UNION AVE",
            "address_2": "SUITE 207A",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701274",
            "telephone_number": "201-372-9600",
            "fax_number": "201-372-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "HEFFERNAN",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "201-372-9600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0123200",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "HP0123200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.