Supportive in-Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPPORTIVE IN-HOME CARE LLC

Practice address

925 Lake Sierra Way
Little Elm, TX 75068-1260

Phone

(469) 600-4161

NPI assigned

May 21, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Portwood, MBANPI 1477142206

Title

Ceo

Phone

(469) 600-4161

Specialties & licenses 1

Addresses

Other names 2

• Supportive In Home Care Doing business as
• Supportive In-Home Care LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Portwood

  • Home Health Aide
  • Richardson, TX
  • NPI 1477142206
  NPD Authorized official

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713052800000",
    "number": "1780259804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 LAKE SIERRA WAY",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750681260",
            "telephone_number": "469-600-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 LAKE SIERRA WAY",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750681260",
            "telephone_number": "469-600-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE IN-HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A",
        "authorized_official_last_name": "PORTWOOD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-600-4161",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supportive In Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Supportive In-Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Supportive In-Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Camira Summers
• Rebecca Summers, OTR
• Sunriseacu, LLC
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• Shyanne Sutton, RN
• Ashton Swaringen, CPM
• Swift Medcare PLLC
• Synergy Medical Equipment Services LLC

• Home Health Agency in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2024; 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.