Organization Active NPI

Supreme Leadership LLC

Doing business as Synergy HomeCare of Aventura

  • In Home Supportive Care Agency
  • Miami, FL
National Provider Identifier
1679347637
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUPREME LEADERSHIP LLC
Doing business as
Synergy HomeCare of Aventura
Practice address
2875 NE 191St St Ofc 540
Miami, FL 33180-2801
Phone
(786) 733-3576
NPI assigned
Nov 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Mr. Ricardo Rey Lopez, MPH
Title
Franchise Owner
Phone
(407) 350-7084

Specialties & licenses 1

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

Addresses

Primary practice location

2875 NE 191St St Ofc 540
Miami, FL 33180-2801

Mailing address

2222 Van Buren St Apt 14
Hollywood, FL 33020-5176
Phone (407) 350-7084

Other names 1

  • Synergy HomeCare of Aventura Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1679347637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 VAN BUREN ST APT 14",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205176",
            "telephone_number": "407-350-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 NE 191ST ST OFC 540",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331802801",
            "telephone_number": "786-733-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME LEADERSHIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "REY",
        "authorized_official_title_or_position": "FRANCHISE OWNER",
        "authorized_official_telephone_number": "407-350-7084",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare of Aventura",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.