Organization Active NPI

Supreme Quality Care LLC

  • Home Health Agency
  • Maryland Heights, MO
National Provider Identifier
1538790647
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jan 31, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.