Supreme Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

334523 Issued in MN

Legal business name

SUPREME CARE, INC.

Practice address

1433 E Franklin Ave Ste 7a
Minneapolis, MN 55404-2101

Phone

(612) 388-1894

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mohamed A Isse

Title

Administrator

Phone

(612) 388-1894

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598801714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 E FRANKLIN AVE STE 7A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 E FRANKLIN AVE STE 7A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042101",
            "telephone_number": "612-388-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ISSE",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-388-1894"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "334523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN CLASS A LICENSE",
            "identifier": "334523",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Supinski
• Supportive Housing and Managed Care Pilot
• Supportive Housing and Managed Care Pilot
• Supportive Housing and Managed Care Pilot
• Supportive Housing Services
• Supreme Physical Therapy, Inc.
• Surad Interpreting and Translation
• Vishnu Laalitha Surapaneni, MD
• Mithun Raghu Suresh, M.D.
• Surgical Specialists of Minnesota

• Home Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.