Supreme Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPREME HEALTH CARE LLC

Doing business as

Supreme Health Care LLC

Practice address

161 Boardwalk Gardens Dr
O Fallon, MO 63368-3915

Phone

(314) 314-3219

NPI assigned

Nov 12, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Agyeman Manu-Dapaah

Title

Owner

Phone

(314) 313-8456

Specialties & licenses 2

Addresses

Other names 1

• SUPREME HEALTH CARE LLC Doing business as

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

{
    "created_epoch": "1478908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1568904233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 BOARDWALK GARDENS DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683915",
            "telephone_number": "314-680-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 BOARDWALK GARDENS DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683915",
            "telephone_number": "314-314-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-12",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "MANU-DAPAAH",
        "authorized_official_first_name": "AGYEMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-313-8456",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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": [
        {
            "organization_name": "SUPREME HEALTH CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lynn Summers, CCC-SLP
• Kathryn R Summers, P.T.
• Mallory Summers
• Rylee Erin Sundquist
• Supportive Care Services, LLC (Right at Home)
• Surgassist, LLC
• Surgical Clinic Inc (Family Medicine Clinic)
• Surgical Supply Solutions
• David B Sutton, RNFA
• Michelle Swingler

• Home Health Agency in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.