Dade Supreme Service, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DADE SUPREME SERVICE, INC

Practice address

2818 NW 169TH Ter
Miami Gardens, FL 33056-4437

Phone

(786) 521-4794

Fax

(786) 524-3257

NPI assigned

Oct 31, 2018

Organization subpart

No

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

Authorized official

Name

Juditt Milian

Title

President

Phone

(786) 521-4794

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1679040315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 NW 169TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564437",
            "telephone_number": "786-521-4794",
            "fax_number": "786-524-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 NW 169TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564437",
            "telephone_number": "786-521-4794",
            "fax_number": "786-524-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADE SUPREME SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "MILIAN",
        "authorized_official_first_name": "JUDITT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-521-4794"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.