Active NPI
Supreme Quality Care LLC
- Home Health Agency
- Maryland Heights, MO
National Provider Identifier
1538790647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SUPREME QUALITY CARE LLC
- Practice address
- 111 West Port Plaza, Floor 6
Maryland Heights, MO 63146 - Phone
- (314) 659-9944
- NPI assigned
- Jan 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jjuan Eskridge
- Title
- Owner
- Phone
- (314) 659-9944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
111 West Port Plaza, Floor 6
Maryland Heights, MO 63146
Mailing address
134 Enchanted Pkwy Ste 203B
Manchester, MO 63021-5495
Phone (314) 659-9944
National Provider Directory
National Provider DirectoryLocations
134 Enchanted Pkwy
Ste 203B
Manchester, MO 63021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580428800000",
"number": "1538790647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 ENCHANTED PKWY STE 203B",
"city": "MANCHESTER",
"state": "MO",
"postal_code": "630215495",
"telephone_number": "314-659-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WEST PORT PLAZA, FLOOR 6",
"city": "MARYLAND HEIGHTS",
"state": "MO",
"postal_code": "63146",
"telephone_number": "314-659-9944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPREME QUALITY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A",
"authorized_official_last_name": "ESKRIDGE",
"authorized_official_first_name": "JJUAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-659-9944"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryland Heights, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.