Active NPI
Supreme Care II LLC.
- Home Health Agency
- Norco, LA
National Provider Identifier
1861691438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SUPREME CARE II LLC.
- Practice address
- 15622 River Rd
Ste. 1
Norco, LA 70079-2284 - Phone
- (504) 737-7901
- Fax
- (504) 737-7903
- NPI assigned
- Jul 13, 2007
- 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
- Ms. Patricia Allen Martin
- Title
- Owner
- Phone
- (504) 737-7901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
15622 River Rd
Ste. 1
Norco, LA 70079-2284
Mailing address
15622 River Rd
Ste. 1
Norco, LA 70079-2284
Phone (504) 737-7901
National Provider Directory
National Provider DirectoryLocations
15622 River Rd
Ste 1
Norco, LA 70079
Phone (504) 737-7901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184284800000",
"number": "1861691438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15622 RIVER RD",
"address_2": "STE. 1",
"city": "NORCO",
"state": "LA",
"postal_code": "700792284",
"telephone_number": "504-737-7901",
"fax_number": "504-737-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15622 RIVER RD",
"address_2": "STE. 1",
"city": "NORCO",
"state": "LA",
"postal_code": "700792284",
"telephone_number": "504-737-7901",
"fax_number": "504-737-7903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPREME CARE II LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-13",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "504-737-7901",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norco, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.