NPIMap

Organization Active NPI

Suprene Home Care Givers Agency LLC

Doing business as Supreme Home Care

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1720469893
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
E29729 Issued in MI
Legal business name
SUPRENE HOME CARE GIVERS AGENCY LLC
Doing business as
Supreme Home Care
Practice address
3011 W Grand Blvd
858
Detroit, MI 48202-3096
Phone
(313) 782-4814
Fax
(313) 338-8985
NPI assigned
Jun 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Ms. Pamala Joy Reed
Title
Owner
Phone
(313) 989-3576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X E29729 MI Primary

Addresses

Primary practice location

3011 W Grand Blvd
858
Detroit, MI 48202-3096

Mailing address

32385 Glen CV
5
Farmington Hills, MI 48334-3663
Phone (313) 782-4814

Other names 1

  • SUPREME HOME CARE Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1720469893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32385 GLEN CV",
            "address_2": "5",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343663",
            "telephone_number": "313-782-4814",
            "fax_number": "313-338-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD",
            "address_2": "858",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023096",
            "telephone_number": "313-782-4814",
            "fax_number": "313-338-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPRENE HOME CARE GIVERS AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "PAMALA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-989-3576",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "E29729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPREME HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.