Supreme Healthcare Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPREME HEALTHCARE SERVICES

Practice address

50 Cheyenne Rd
Worcester, MA 01606-2652

Phone

(508) 579-0881

NPI assigned

Jun 21, 2015

Organization subpart

No

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

Authorized official

Name

Albert Kwakwa-Ampadu, LPN

Title

Executive Director

Phone

(508) 579-0881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1434844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434844800000",
    "number": "1740662287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHEYENNE RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHEYENNE RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062652",
            "telephone_number": "508-579-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-21",
        "last_updated": "2015-06-21",
        "status": "A",
        "authorized_official_last_name": "KWAKWA-AMPADU",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-579-0881",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Worcester, MA
• Providers in Worcester, MA by specialty
• Home Health Agency in Massachusetts

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