Organization Active NPI

Supreme Home Care Givers Agency LLC

Doing business as Supreme Home Care

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1992571939
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPREME HOME CARE GIVERS AGENCY LLC
Doing business as
Supreme Home Care
Practice address
3011 W Grand Blvd Ste 858
Detroit, MI 48202-3077
Phone
(313) 989-3576
Fax
(313) 338-3985
NPI assigned
Nov 30, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SUPRENE HOME CARE GIVERS AGENCY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Pamala Reed
Title
Owner
Phone
(313) 989-3576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3011 W Grand Blvd Ste 858
Detroit, MI 48202-3077

Mailing address

6601 Chelsea BRG
West Bloomfield, MI 48322-3074
Phone (313) 989-3576

Other names 1

  • SUPREME HOME CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Supreme Home Care2 organizations share this tax ID, including this one
Part of
Suprene Home Care Givers Agency LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1992571939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 CHELSEA BRG",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223074",
            "telephone_number": "313-989-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD STE 858",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023077",
            "telephone_number": "313-989-3576",
            "fax_number": "313-338-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HOME CARE GIVERS AGENCY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUPRENE HOME CARE GIVERS AGENCY LLC",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "PAMALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-989-3576"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPREME HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.