NPIMap

Organization Active NPI

Supreme Investments, LLC.

Doing business as Supreme Choice Health Care

  • Case Management Agency
  • Kinston, NC
National Provider Identifier
1952604365
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SUPREME INVESTMENTS, LLC.
Doing business as
Supreme Choice Health Care
Practice address
1100 Hardee Rd
Suite 103 C
Kinston, NC 28504-2529
Phone
(252) 523-1100
Fax
(252) 523-1101
NPI assigned
Dec 8, 2010
Last updated
Dec 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Nikisha Williams
Title
Agency Director
Phone
(252) 523-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1100 Hardee Rd
Suite 103 C
Kinston, NC 28504-2529

Mailing address

1100 Hardee Rd
Suite 103 C
Kinston, NC 28504-2529
Phone (252) 523-1100

Other identifiers 1

IdentifierTypeStateIssuer
8702079MedicaidNC

Other names 1

  • SUPREME CHOICE HEALTH CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Supreme Choice Healthcare4 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.

Locations

1100 Hardee Rd
Ste 103C
Kinston, NC 28504
Phone (252) 523-1100

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1952604365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HARDEE RD",
            "address_2": "SUITE 103 C",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285042529",
            "telephone_number": "252-523-1100",
            "fax_number": "252-523-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HARDEE RD",
            "address_2": "SUITE 103 C",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285042529",
            "telephone_number": "252-523-1100",
            "fax_number": "252-523-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME INVESTMENTS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NIKISHA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "252-523-1100"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8702079",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPREME CHOICE HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.