Supreme Health Systems Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SUPREME HEALTH SYSTEMS INC

Practice address

1200 E Morehead St Ste 108
Charlotte, NC 28204-3025

Phone

(704) 572-7081

Fax

(704) 733-9087

NPI assigned

Aug 15, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Prince Kelechi Paul

Title

President

Phone

(704) 572-7081

Specialties & licenses 2

Addresses

Other names 1

• MOBILITY CONCERNS INC Former legal business name

Electronic endpoints 1

Tax ID family

Mobility Concerns Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Supreme Health Systems Inc

  • In Home Supportive Care Agency
  • Salisbury, NC
  • NPI 1174109417
  NPD tax ID

Locations

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1922524560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MOREHEAD ST STE 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043025",
            "telephone_number": "704-503-9771",
            "fax_number": "704-733-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MOREHEAD ST STE 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043025",
            "telephone_number": "704-572-7081",
            "fax_number": "704-733-9087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 W Innes St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281444166",
            "country_code": "US",
            "telephone_number": "704-431-4385",
            "fax_number": "704-603-4572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPREME HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_middle_name": "KELECHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-572-7081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "supremehealthsystems.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 E Morehead St Ste 108",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MOBILITY CONCERNS INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Support for Growth Inc
• Supporting People in Need - Spin
• Supportive Homes Inc
• Supportive Housing Communities
• Supreme 6 LLC (Bynum6 Care Home)
• Suprgeon W Webber III DDS Ta
• Siddharth P Sura, MD
• Deeptha Surampudi, DDS
• Dharmeshkumar Thakordas Suratwala, MD
• Shashank Suresh, MD

• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.