Supreme Nursing Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

250E00000X Issued in TX

Legal business name

SUPREME NURSING SERVICES, INC.

Practice address

2101 Crawford St
306
Houston, TX 77002-8942

Phone

(713) 752-0166

Fax

(713) 752-0503

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Sumon, REGISTERED NURSE

Title

Administrator

Phone

(713) 752-0166

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 678439

Legal name

SUPREME NURSING SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 26, 1996

Last certification

Dec 18, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 26, 1997 in TX

Enrollment address

2101 Crawford
Suite 306
Houston, TX 77002-8941

Listed as

Supreme Nursing Services IncCCN 678439

Ownership

Proprietary

Certified

Sep 26, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1497878011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CRAWFORD ST",
            "address_2": "306",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028942",
            "telephone_number": "713-752-0166",
            "fax_number": "713-752-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CRAWFORD ST",
            "address_2": "306",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028942",
            "telephone_number": "713-752-0166",
            "fax_number": "713-752-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME NURSING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "SUMON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-752-0166",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "250E00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "S50027545",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Supreme Compounding LLC
• Supreme Dentistry PLLC
• Supreme Health Care Inc
• Supreme Home Care, LLC.
• Supreme Medical Center LLC
• Supreme Supports
• Supritha V Hangal PLLC
• Alisara Suptuesat, M.D.
• Bonita Sur, PHD
• Moushumi Sehgal Sur, MD

• Home Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.