NPIMap

Organization Active NPI

Supreme Home Care LLC

  • Health Maintenance Organization
  • Harvey, LA
National Provider Identifier
1902056153
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
PCA15107 Issued in LA
Legal business name
SUPREME HOME CARE LLC
Practice address
2010 Woodmere Blvd
Ste B
Harvey, LA 70058-2286
Phone
(504) 340-9313
Fax
(504) 340-9314
NPI assigned
Sep 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Mrs. Denise Carey Riley
Title
Chief Administrator
Phone
(504) 340-9313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X PCA15107 LA Primary

Addresses

Primary practice location

2010 Woodmere Blvd
Ste B
Harvey, LA 70058-2286

Mailing address

2010 Woodmere Blvd
Ste B
Harvey, LA 70058
Phone (504) 340-9313

National Provider Directory

National Provider Directory
Tax ID family
Supreme Home Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1902056153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 WOODMERE BLVD",
            "address_2": "STE B",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "70058",
            "telephone_number": "504-340-9313",
            "fax_number": "504-340-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WOODMERE BLVD",
            "address_2": "STE B",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582286",
            "telephone_number": "504-340-9313",
            "fax_number": "504-340-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "CAREY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "504-340-9313",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "LA",
            "license": "PCA15107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.