Active NPI
Supreme Home Health Care Inc.
- Home Health Agency
- Monroe TWP, NJ
National Provider Identifier
1700019155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HP0131100
- Legal business name
- SUPREME HOME HEALTH CARE INC.
- Practice address
- 492C Delair Rd
Monroe TWP, NJ 08831-7226 - Phone
- (609) 655-3965
- Fax
- (609) 655-3256
- NPI assigned
- Sep 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Indira Sitaraman
- Title
- Vice President
- Phone
- (609) 655-3965
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HP0131100 | NJ | Primary |
Addresses
Primary practice location
492C Delair Rd
Monroe TWP, NJ 08831-7226
Mailing address
492C Delair Rd
Monroe TWP, NJ 08831-7226
Phone (609) 655-3965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP0131100 | Other | NJ | NEW JERSEY OFFICE OF THE ATTORNEY GENERAL, DIVISION OF CONSUMER AFFAIRS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251849600000",
"number": "1700019155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492C DELAIR RD",
"city": "MONROE TWP",
"state": "NJ",
"postal_code": "088317226",
"telephone_number": "609-655-3965",
"fax_number": "609-655-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492C DELAIR RD",
"city": "MONROE TWP",
"state": "NJ",
"postal_code": "088317226",
"telephone_number": "609-655-3965",
"fax_number": "609-655-3256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPREME HOME HEALTH CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-02",
"last_updated": "2009-09-02",
"status": "A",
"authorized_official_last_name": "SITARAMAN",
"authorized_official_first_name": "INDIRA",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "609-655-3965"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NJ",
"license": "HP0131100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW JERSEY OFFICE OF THE ATTORNEY GENERAL, DIVISION OF CONSUMER AFFAIRS",
"identifier": "HP0131100",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe TWP, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.