Supreme Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPREME HOME HEALTHCARE LLC

Practice address

3525 W. Peterson Ave.
Chicago, IL 60659-3324

Phone

(773) 802-2281

Fax

(888) 316-6045

NPI assigned

Nov 7, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Cachero Medrano

Title

President

Phone

(773) 802-2281

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1508010265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593324",
            "telephone_number": "773-802-2281",
            "fax_number": "888-316-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W. PETERSON AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593324",
            "telephone_number": "773-802-2281",
            "fax_number": "888-316-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "MEDRANO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CACHERO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-802-2281",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supported Independence
• Supported Independence
• Supportive Services Agency, LLC
• Supportive Steps to Recovery
• Suppported Independence
• Supreme MD Inc.
• Gaminee Patel Sura, OTR/L
• Harsh Rohitkumar Sura, M.B.B.S
• Divya Meher Surabhi, MD, MPH
• Nicholas Paul Suraci, M.D.

• Home Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; 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.