NPIMap

Organization Active NPI

Supreme Care LLC.

  • Developmentally Disabled Services Day Training Agency
  • Metairie, LA
National Provider Identifier
1467580035
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
6681 Issued in LA
Legal business name
SUPREME CARE LLC.
Practice address
7809 Airline Dr Ste 206
Metairie, LA 70003-6440
Phone
(504) 737-7901
Fax
(504) 737-7903
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Patricia D Martin
Title
Ceo
Phone
(504) 737-7901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 6681 LA Primary

Addresses

Primary practice location

7809 Airline Dr Ste 206
Metairie, LA 70003-6440

Mailing address

7809 Airline Dr Ste 206
Metairie, LA 70003-6440
Phone (504) 737-7901

Other identifiers 1

IdentifierTypeStateIssuer
1582476MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Supreme Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467580035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 AIRLINE DR STE 206",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700036440",
            "telephone_number": "504-737-7901",
            "fax_number": "504-737-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7809 AIRLINE DR STE 206",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700036440",
            "telephone_number": "504-737-7901",
            "fax_number": "504-737-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-737-7901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "6681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1582476",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.