Active NPI
Supreme Home Healthcare
- Home Health Agency
- Reading, PA
National Provider Identifier
1922995364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SUPREME HOME HEALTHCARE
- Practice address
- 20 Oswego LN
Reading, PA 19605-7018 - Phone
- (484) 769-5070
- NPI assigned
- Jun 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohamed Fofanah
- Title
- Governing Body Chairperson
- Phone
- (614) 929-1931
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
20 Oswego LN
Reading, PA 19605-7018
Mailing address
20 Oswego LN
Reading, PA 19605-7018
Phone (484) 769-5070
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2344702 | Supreme Home Healthcare LLC | Certificate of waiver | May 27, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750291200000",
"number": "1922995364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 OSWEGO LN",
"city": "READING",
"state": "PA",
"postal_code": "196057018",
"telephone_number": "484-769-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 OSWEGO LN",
"city": "READING",
"state": "PA",
"postal_code": "196057018",
"telephone_number": "484-769-5070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPREME HOME HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-19",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A",
"authorized_official_last_name": "FOFANAH",
"authorized_official_first_name": "MOHAMED",
"authorized_official_title_or_position": "GOVERNING BODY CHAIRPERSON",
"authorized_official_telephone_number": "614-929-1931",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.