Supreme Homecare Agency of Ny Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1935L001 Issued in NY

Legal business name

SUPREME HOMECARE AGENCY OF NY INC

Practice address

15405 Northern Blvd FL 3
Flushing, NY 11354-6724

Phone

(718) 888-0855

Fax

(718) 353-9212

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

Youngsoon Lee

Title

President

Phone

(718) 888-0855

Specialties & licenses 1

Addresses

Other names 1

• NU Homecare Doing business as

Tax ID family

Nu Home Care2 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 Home Care Agency of Ny Inc

  • Home Health Agency
  • Flushing, NY
  • NPI 1275076580
  NPD tax ID

Locations

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1962868570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15405 NORTHERN BLVD FL 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546724",
            "telephone_number": "718-888-0855",
            "fax_number": "718-353-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 NORTHERN BLVD FL 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546724",
            "telephone_number": "718-888-0855",
            "fax_number": "718-353-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HOMECARE AGENCY OF NY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YOUNGSOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-888-0855"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1935L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NU Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NU Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Flushing, NY
• Providers in Flushing, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.