Supreme Quality Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

044R1382 Issued in GA

Legal business name

SUPREME QUALITY HOME CARE LLC

Practice address

1046 Palmer Rd
Lithonia, GA 30058-9085

Phone

(404) 454-9388

NPI assigned

Sep 29, 2016

Organization subpart

No

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

Authorized official

Name

Gloria MintaNPI 1417316779

Title

Administrator

Phone

(404) 454-9388

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria Minta

  • Home Health Agency
  • Lithonia, GA
  • NPI 1417316779
  NPD (past) Authorized official

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1962951038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 PALMER RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300589085",
            "telephone_number": "404-454-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 PALMER RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300589085",
            "telephone_number": "404-454-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME QUALITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "MINTA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-454-9388"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "044R1382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.