Supreme Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC4439 Issued in NC

Legal business name

SUPREME CARE, INC.

Practice address

4307 Western Park PL
Suite 205-a
Durham, NC 27705-1224

Phone

(919) 225-2056

NPI assigned

Sep 10, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Julius Ajayi

Title

Agency Director

Phone

(919) 225-2056

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1315612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1699057117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 FORRESTAL DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034780",
            "telephone_number": "919-225-2056",
            "fax_number": "919-287-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 WESTERN PARK PL",
            "address_2": "SUITE 205-A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277051224",
            "telephone_number": "919-225-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-10",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "919-225-2056",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Superdock, MD
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• Support Source of North Carolina
• Supportive Counseling Services, PLLC
• Jillian Brooke Supranowitz
• Supreme Family Care Home
• Supreme Family Care Home
• Supreme Mobile Testing LLC
• Supreme Residential Care, LLC
• Amol Ashwin Sura, M.D.

• Home Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.