Supreme Menthal Health Services Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SUPREME MENTHAL HEALTH SERVICES INC

Practice address

705 E 8TH Ave Ste 201
Hialeah, FL 33010-4613

Phone

(786) 306-9980

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Masiel Chaviano HuertaNPI 1912409426

Title

Owner

Phone

(786) 306-9980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Masiel Chaviano Huerta

  • In Home Supportive Care Agency
  • Hialeah, FL
  • NPI 1912409426
  NPD Authorized official

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1609484278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E 8TH AVE STE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104613",
            "telephone_number": "786-306-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E 8TH AVE STE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104613",
            "telephone_number": "786-306-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME MENTHAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "CHAVIANO HUERTA",
        "authorized_official_first_name": "MASIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-306-9980"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.