Organization Active NPI

Supreme Compassionate Care Incorporated

  • In Home Supportive Care Agency
  • Winston Salem, NC
National Provider Identifier
1659835213
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUPREME COMPASSIONATE CARE INCORPORATED
Practice address
1922 S MLK Jr Dr Ste 235
Winston Salem, NC 27107-1361
Phone
(336) 777-8222
NPI assigned
Jan 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Seth Jeremiah Washington
Title
Director
Phone
(743) 900-2183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1922 S MLK Jr Dr Ste 235
Winston Salem, NC 27107-1361

Mailing address

1922 S MLK Jr Dr Ste 235
Winston Salem, NC 27107-1361
Phone (336) 777-8222

National Provider Directory

National Provider Directory

Locations

1922 S Martin Luther King Jr Dr
Ste 229
Winston Salem, NC 27107
Phone (336) 528-1459

1922 S Martin Luther King Jr Dr
Ste 235
Winston Salem, NC 27107
Phone (336) 777-8222

1540 Westbrook Plaza Dr
Ste C
Winston Salem, NC 27103

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1659835213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 S MLK JR DR STE 235",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071361",
            "telephone_number": "336-777-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 S MLK JR DR STE 235",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071361",
            "telephone_number": "336-777-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME COMPASSIONATE CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "JEREMIAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "743-900-2183"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.