NPIMap

Organization Active NPI

Supreme Home Health Services, Inc

  • Home Health Agency
  • Monroe, LA
National Provider Identifier
1700056322
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
121 Issued in LA
Legal business name
SUPREME HOME HEALTH SERVICES, INC
Practice address
1110 Jackson St
Monroe, LA 71202-2024
Phone
(318) 323-5489
Fax
(318) 323-8602
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Mrs. Emily Winston
Title
Ceo
Phone
(318) 323-5489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 121 LA Primary

Addresses

Primary practice location

1110 Jackson St
Monroe, LA 71202-2024

Mailing address

PO Box 3145
Monroe, LA 71210-3145
Phone (318) 323-5489

Other identifiers 1

IdentifierTypeStateIssuer
1400955MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Supreme Home Health Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1700056322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3145",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712103145",
            "telephone_number": "318-323-5489",
            "fax_number": "318-323-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022024",
            "telephone_number": "318-323-5489",
            "fax_number": "318-323-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "WINSTON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-323-5489",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1400955",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.