NPIMap

Organization Active NPI

Supreme Care ER LP

  • Emergency Care Clinic/Center
  • Houston, TX
National Provider Identifier
1457935611
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
SUPREME CARE ER LP
Practice address
9530 Jones Rd
Houston, TX 77065-4411
Phone
(832) 917-0913
NPI assigned
May 12, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Keegan Massey, MDNPI 1427319979
Title
Owner
Phone
(832) 917-0913

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
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

9530 Jones Rd
Houston, TX 77065-4411

Mailing address

PO Box 650998
Dallas, TX 75265-0998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457935611. Details of each certification follow.

Hospital certification: CCN 670311

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SUPREME CARE ER, LP
Certification status
Terminated Voluntary: merger or closure, May 11, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Aug 3, 2021
Last certification
Aug 3, 2021
Beds
1
Ownership / control type
Private (not for profit)
Facility address
9530 Jones Rd
Houston, TX 77065

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1457935611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650998",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530 JONES RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654411",
            "telephone_number": "832-917-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME CARE ER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "KEEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-917-0913",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.