Active NPI
Supreme Access LLC
- Home Modifications Contractor
- Edinburg, TX
National Provider Identifier
1992580948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 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 DirectoryNPI 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.