NPIMap

Organization Active NPI

Supreme Generation,Inc.

  • Home Health Agency
  • Flushing, NY
National Provider Identifier
1780124719
Registry record updated Mar 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1728L001 Issued in NY
Legal business name
SUPREME GENERATION,INC.
Practice address
14766 77TH Ave
Flushing, NY 11367-3124
Phone
(718) 841-7100
Fax
(718) 841-7517
NPI assigned
Feb 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2017

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

Authorized official

Name
Mr. Boris Gulkarov
Title
President
Phone
(718) 841-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1728L001 NY Primary

Addresses

Primary practice location

14766 77TH Ave
Flushing, NY 11367-3124

Mailing address

14766 77TH Ave
Flushing, NY 11367-3124
Phone (718) 841-7100

National Provider Directory

National Provider Directory
Tax ID family
Supreme Generation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490486400000",
    "number": "1780124719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14766 77TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673124",
            "telephone_number": "718-841-7100",
            "fax_number": "718-841-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14766 77TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673124",
            "telephone_number": "718-841-7100",
            "fax_number": "718-841-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME GENERATION,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-03-26",
        "status": "A",
        "authorized_official_last_name": "GULKAROV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-841-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1728L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2017; 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.