Active NPI
Supreme Home Healthcare, LLC
- Home Health Agency
- Columbus, OH
National Provider Identifier
1821395872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0076152 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.