Supreme Home Health Care Agency LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

SUPREME HOME HEALTH CARE AGENCY LLC

Practice address

66 Lincoln St FL 1
East Orange, NJ 07017-2311

Phone

(201) 936-3582

Fax

(888) 959-8179

NPI assigned

Oct 19, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Elmogira Elhilo

Title

Operating Manager

Phone

(201) 936-3582

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1508377318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LINCOLN ST FL 1",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172311",
            "telephone_number": "201-936-3582",
            "fax_number": "888-959-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LINCOLN ST FL 1",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172311",
            "telephone_number": "201-936-3582",
            "fax_number": "888-959-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HOME HEALTH CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "ELHILO",
        "authorized_official_first_name": "ELMOGIRA",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "201-936-3582",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Dominick Sullivan, D.O.
• Syed A Sultani, RVS
• Alejandrina Rubio Sumicad III, NP
• Darshi Sunderam, MD
• Sheryl A Sunnongmuang, PHARMD
• Alison Clare Surich, M.S. CCC-SLP
• Nancy W Sutton, PH.D.
• Justin Szot
• Andres Tabares, MD
• Beverley B Taitt, M.D.

• Nursing Care Agency in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Nursing Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.