Organization Active NPI

Supreme Access LLC

  • Home Modifications Contractor
  • Edinburg, TX
National Provider Identifier
1992580948
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
SUPREME ACCESS LLC
Practice address
801 Bass Blvd
Edinburg, TX 78542-5183
Phone
(956) 627-9955
NPI assigned
Aug 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Bryanna Garcia
Title
Member
Phone
(956) 627-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171WH0202X Primary

Addresses

Primary practice location

801 Bass Blvd
Edinburg, TX 78542-5183

Mailing address

801 Bass Blvd
Edinburg, TX 78542-5183
Phone (956) 627-9955

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1992580948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BASS BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785425183",
            "telephone_number": "956-627-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BASS BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785425183",
            "telephone_number": "956-627-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME ACCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "BRYANNA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "956-627-9955"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

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