Organization Active NPI

Supreme Healthcare, Inc

Doing business as Bridges Home Health

  • Home Health Agency
  • Valencia, CA
National Provider Identifier
1518173384
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000872 Issued in CA
Legal business name
SUPREME HEALTHCARE, INC
Doing business as
Bridges Home Health
Practice address
28312 Constellation Rd Ste a
Valencia, CA 91355-5078
Phone
(818) 830-1155
Fax
(818) 334-4149
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Carolyn Romero
Title
Ceo/President
Phone
(818) 268-8813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000872 CA Primary

Addresses

Primary practice location

28312 Constellation Rd Ste a
Valencia, CA 91355-5078

Mailing address

28312 Constellation Rd Ste a
Valencia, CA 91355-5078
Phone (818) 830-1155

Other names 1

  • Bridges Home Health Doing business as

Care Compare: Home health agency

Medicare Care Compare
Listed as
Supreme Healthcare, Inc.CCN 059190
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Feb 10, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1072643Supreme Healthcare Inc28312 Constellation Rd Ste a, Valencia, CA 91355Certificate of waiverAug 20, 2027

National Provider Directory

National Provider Directory

Locations

127 S Brand Blvd
Ste 100F
Glendale, CA 91204

28312 Constellation Rd
Ste A
Valencia, CA 91355
Phone (818) 830-1155

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1518173384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28312 CONSTELLATION RD STE A",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555078",
            "telephone_number": "818-830-1155",
            "fax_number": "818-334-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28312 CONSTELLATION RD STE A",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555078",
            "telephone_number": "818-830-1155",
            "fax_number": "818-334-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-268-8813"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridges Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridges Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.