Organization Active NPI

Supreme Home Healthcare, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1821395872
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPREME HOME HEALTHCARE, LLC
Practice address
5900 Roche Dr
Suite 614
Columbus, OH 43229-3272
Phone
(614) 396-6590
NPI assigned
Feb 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Mr. Kwame Nyarko Aidoo
Title
Director
Phone
(614) 396-6590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

5900 Roche Dr
Suite 614
Columbus, OH 43229-3272

Mailing address

5900 Roche Dr
Suite 614
Columbus, OH 43229-3272
Phone (614) 396-6590

Other identifiers 1

IdentifierTypeStateIssuer
0076152MedicaidOH

National Provider Directory

National Provider Directory

Locations

210 S Court St
Ste 201
Circleville, OH 43113
Phone (614) 396-6590

5900 Roche Dr
Ste 614
Columbus, OH 43229
Phone (614) 396-6590

NPI Registry JSON

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

{
    "created_epoch": "1298678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1821395872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 ROCHE DR",
            "address_2": "SUITE 614",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293272",
            "telephone_number": "614-396-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 ROCHE DR",
            "address_2": "SUITE 614",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293272",
            "telephone_number": "614-396-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-26",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "AIDOO",
        "authorized_official_first_name": "KWAME",
        "authorized_official_middle_name": "NYARKO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "614-396-6590",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076152",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.