Organization Active NPI

Supplemental Professional Resources, Inc.

  • Home Health Agency
  • Lockport, NY
National Provider Identifier
1972591311
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
9969L001 Issued in NY
Legal business name
SUPPLEMENTAL PROFESSIONAL RESOURCES, INC.
Practice address
3976 Lockport Olcott Rd
Lockport, NY 14094-1133
Phone
(716) 433-7810
Fax
(716) 433-7811
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Donald L Kepner
Title
Chief Financial Officer
Phone
(716) 514-5527

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 9969L001 NY Primary
Durable Medical Equipment & Medical Supplies 332B00000X 9969L001 NY

Addresses

Primary practice location

3976 Lockport Olcott Rd
Lockport, NY 14094-1133

Mailing address

3976 Lockport Olcott Rd
Lockport, NY 14094-1133
Phone (716) 433-7810

Other identifiers 5

IdentifierTypeStateIssuer
01879616MedicaidNY
8210096OtherNYIHA BILLING #
00011340201OtherNYUNIVERA BILLING #
000551258001OtherNYBCBS BILLING #
01779735MedicaidNY

Other names 1

  • Niagara Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

3976 Lockport Olcott Rd
Lockport, NY 14094
Phone (716) 433-7810

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1972591311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3976 LOCKPORT OLCOTT RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941133",
            "telephone_number": "716-433-7810",
            "fax_number": "716-433-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3976 LOCKPORT OLCOTT RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941133",
            "telephone_number": "716-433-7810",
            "fax_number": "716-433-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL PROFESSIONAL RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KEPNER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "716-514-5527",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9969L001",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "9969L001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01879616",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA BILLING #",
            "identifier": "8210096",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA BILLING #",
            "identifier": "00011340201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BILLING #",
            "identifier": "000551258001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01779735",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Niagara Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.