Supreme Home Care, Inc

LBN: Supreme Home Care, Inc
Supreme Home Care, Inc is an health care organization with primary practice located at 1204 E Baseline Rd Ste 204 , Tempe AZ 85283-1453. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Supreme Home Care, Inc can be contacted via phone (602) 454-0155, or through Davis, Gary via phone (602) 454-0155.

Contact Information

Primary practice address
1204 E Baseline Rd Ste 204 Tempe AZ 85283-1453
Phone: (602) 454-0155
Fax: (602) 454-0156
Website:
Map and Directions
Authorized official contact:
Name: Davis, Gary
Phone: (602) 454-0155

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HHA3554 Arizona

Profile Details

NPI number 1295951473
LBN Legal business name Supreme Home Care, Inc
DBA Doing business as
Authorized official Davis, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Sep 27th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295951473 NPPES
Arizona MEDICAID 927577

Popular Providers