Supreme Inhome Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SUPREME INHOME SERVICES LLC

Practice address

3191 Ashby Rd Ste 3
Saint Ann, MO 63074-3805

Phone

(314) 395-8989

NPI assigned

Feb 1, 2023

Last updated

Feb 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lakecia Gray

Title

Owner

Phone

(314) 395-8989

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1528764545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 ASHBY RD STE 3",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630743805",
            "telephone_number": "314-395-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 ASHBY RD STE 3",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630743805",
            "telephone_number": "314-395-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME INHOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LAKECIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-395-8989"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Saint Ann, MO by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.