NPIMap

Organization Active NPI

Supreme Investments,LLC

  • Home Health Agency
  • Fayetteville, NC
National Provider Identifier
1487982260
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPREME INVESTMENTS,LLC
Practice address
1923 United Dr Unit E
Fayetteville, NC 28301-3214
Phone
(252) 268-1519
NPI assigned
Dec 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Miss Nikisha Michelle Williams
Title
Director
Phone
(252) 268-1519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1923 United Dr Unit E
Fayetteville, NC 28301-3214

Mailing address

1923 United Dr Unit E
Fayetteville, NC 28301-3214
Phone (252) 268-1519

Other names 1

  • SUPREME CHOICE HEALTHCARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Supreme Choice Healthcare4 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": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1487982260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 UNITED DR UNIT E",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013214",
            "telephone_number": "252-268-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 UNITED DR UNIT E",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013214",
            "telephone_number": "252-268-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME INVESTMENTS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NIKISHA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-268-1519",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPREME CHOICE HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.