NPIMap

Organization Active NPI

Supreme Home Health Services, Inc

  • Custodial Care Facility
  • Monroe, LA
National Provider Identifier
1669566675
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
3586 Issued in LA
Legal business name
SUPREME HOME HEALTH SERVICES, INC
Practice address
1110 Jackson St
Monroe, LA 71202-2024
Phone
(318) 323-5489
Fax
(318) 323-8602
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Mrs. Emily B. Winston, R.N.
Title
C.E.O.
Phone
(318) 323-5489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 3586 LA Primary

Addresses

Primary practice location

1110 Jackson St
Monroe, LA 71202-2024

Mailing address

PO Box 3145
Monroe, LA 71210-3145
Phone (318) 323-5489

Other identifiers 1

IdentifierTypeStateIssuer
1660094OtherLAPERSONAL CARE ATTENDANT

National Provider Directory

National Provider Directory
Tax ID family
Supreme Home Health Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1669566675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3145",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712103145",
            "telephone_number": "318-323-5489",
            "fax_number": "318-323-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022024",
            "telephone_number": "318-323-5489",
            "fax_number": "318-323-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "WINSTON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "318-323-5489",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "LA",
            "license": "3586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE ATTENDANT",
            "identifier": "1660094",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.