Supreme Care Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPREME CARE HOME HEALTH, INC.

Practice address

10510 Victory Blvd Ste 205
North Hollywood, CA 91606-3961

Phone

(818) 763-5981

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Lusine Alemsharyan

Title

Ceo

Phone

(818) 763-5981

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059168

Legal name

SUPREME CARE HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 5, 2010

Last certification

Dec 12, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 27, 2007 in CA

Enrollment address

10510 Victory Blvd
Ste 205
North Hollywood, CA 91606-3961

Listed as

Supreme Care Home Health, IncCCN 059168

Ownership

Proprietary

Certified

Feb 5, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1790976389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 VICTORY BLVD STE 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 VICTORY BLVD STE 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063961",
            "telephone_number": "818-763-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "ALEMSHARYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-763-5981"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Linda Marie Sweet, C.N., C.M.T

• Home Health Agency in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.