Organization Active NPI

Supreme Care II LLC.

  • Home Health Agency
  • Norco, LA
National Provider Identifier
1861691438
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 13, 2007

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.