NPIMap

Organization Active NPI

Supreme Healthcare Services LLC.

  • Non-emergency Medical Transport (VAN)
  • Lowell, MA
National Provider Identifier
1902560279
Registry record updated Oct 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SUPREME HEALTHCARE SERVICES LLC.
Doing business as
Supreme Healthcare Services LLC.
Practice address
694 Merrimack St Unit a
Lowell, MA 01854-3915
Phone
(978) 970-5545
Fax
(978) 970-0006
NPI assigned
Oct 23, 2021
Last updated
Oct 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2021

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

Authorized official

Name
Michael Tembo
Title
President
Phone
(978) 970-5545

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Non-emergency Medical Transport (VAN) 343900000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

694 Merrimack St Unit a
Lowell, MA 01854-3915

Mailing address

694 Merrimack St Unit a
Lowell, MA 01854-3915
Phone (978) 970-5545

Other names 1

  • Supreme Healthcare Services LLC. Doing business as

National Provider Directory

National Provider Directory

Locations

694 Merrimack St
Unit A
Lowell, MA 01854
Phone (978) 970-5545

NPI Registry JSON

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634947200000",
    "number": "1902560279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 MERRIMACK ST UNIT A",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543915",
            "telephone_number": "978-970-5545",
            "fax_number": "978-970-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 MERRIMACK ST UNIT A",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543915",
            "telephone_number": "978-970-5545",
            "fax_number": "978-970-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HEALTHCARE SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-23",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "TEMBO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-970-5545"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supreme Healthcare Services LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; 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.