Organization Active NPI

Supreme Home Health Care Inc.

  • Home Health Agency
  • Monroe TWP, NJ
National Provider Identifier
1700019155
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0131100 Issued in NJ
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

Updated by the provider on Sep 2, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HP0131100OtherNJNEW JERSEY OFFICE OF THE ATTORNEY GENERAL, DIVISION OF CONSUMER AFFAIRS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.