Supreme Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299992504 Issued in FL

Legal business name

SUPREME HOME HEALTH CARE, LLC

Practice address

8910 Miramar Pkwy Ste 315
Miramar, FL 33025-4100

Phone

(954) 431-1681

Fax

(954) 431-1699

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Canute V Anderson, R.N.

Title

Administrator

Phone

(954) 431-1681

Specialties & licenses 1

Addresses

Listed as

Supreme Home Health Care, LLCCCN 109437

Ownership

Proprietary

Certified

Oct 14, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1912095142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 MIRAMAR PKWY STE 315",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254100",
            "telephone_number": "954-431-1681",
            "fax_number": "954-431-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 MIRAMAR PKWY STE 315",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254100",
            "telephone_number": "954-431-1681",
            "fax_number": "954-431-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CANUTE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-431-1681",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Chateau Alf, LLC
• Sunshine Community Mental Health Corp
• Sunshine Lab Services LLC
• Sunshine Mobile Imaging Inc.
• Eileen Nikko Super, MD
• Suremedical Services LLC
• Surgery Specialists of South Broward, Inc
• Surgicare of Miramar LLC
• Yamilia Suros
• Survivors Healing Through Outreach, Prevention, and Empowerment

• Home Health Agency in Miramar, FL
• Providers in Miramar, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.