Supreme Comfort Care LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

SUPREME COMFORT CARE LLC

Practice address

422 N 18TH St Apt B
Fort Pierce, FL 34950-7982

Phone

(772) 577-4018

NPI assigned

Nov 19, 2018

Organization subpart

No

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

Authorized official

Name

Dakeisha RobersonNPI 1962971028

Title

Manager/Owner

Phone

(772) 577-4018

Specialties & licenses 1

Addresses

Practitioners 1

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

• Dakeisha Roberson

  • Home Health Aide
  • Fort Pierce, FL
  • NPI 1962971028
  NPD (past) Authorized official

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1639648702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N 18TH ST APT B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349507982",
            "telephone_number": "772-577-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N 18TH ST APT B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349507982",
            "telephone_number": "772-577-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME COMFORT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "DAKEISHA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "772-577-4018"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.