SUPREME HOME HEALTH SERVICES INC (NPI# 1003082421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003082421 |
| Entity Type | Organization |
| Organization Name | SUPREME HOME HEALTH SERVICES INC |
| Practice Address |
1110 Jackson St Monroe LA 71202-2024 |
| Mailing Address |
1110 Jackson St Po Box 3145 Monroe LA 71202-2024 |
| Practice Telephone | 3183235489 |
| Practice Fax Number | 3183238602 |
| Mailing Telephone | 3183235489 |
| Mailing Fax Number | 3183238602 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | MS. EMILY B WINSTON (ADMINISTRATOR) |
| Authorized Official Telephone | 3183235489 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 3586 | LA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1462233 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225135437 | Supreme Home Health Services Inc | Home Health | 1110 Jackson St, Monroe, LA 71202-2024 | 2006-09-20 |
| Street Address |
1110 JACKSON ST |
| City | MONROE |
| State | LA |
| Zip Code | 71202-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225135437 | Supreme Home Health Services Inc | Home Health | 1110 Jackson St, Monroe, LA 71202-2024 | 2006-09-20 |
| 1700056322 | Supreme Home Health Services, Inc | Home Health | 1110 Jackson St, Monroe, LA 71202-2024 | 2008-03-11 |
| 1669566675 | Supreme Home Health Services, Inc | Custodial Care Facility | 1110 Jackson St, Monroe, LA 71202-2024 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170726 | Ap&g Transportation LLC | Non-emergency Medical Transport (VAN) | 211 Malvern St., Monroe, LA 71202 | 2020-09-30 |
| 1902419625 | Marilyn F Goldman | Non-emergency Medical Transport (VAN) | 1001 Wilton Dr, Monroe, LA 71202 | 2020-08-24 |
| 1114583069 | Brandon Rashaard Collins | Case Manager/Care Coordinator | 5504 Robinson Drive, Monroe, LA 71202 | 2019-05-16 |
| 1285131326 | Jerrel Stills | Counselor | 296 Forest Oaks Rd, Monroe, LA 71202 | 2018-04-06 |
| 1164930269 | Jakira Gibson | Case Manager/Care Coordinator | 308 Vegas Dr, Monroe, LA 71202 | 2018-01-11 |
| 1457870321 | Whitney Nicole Allen | Counselor | 806 North 31st Street, Monroe, LA 71202 | 2017-09-12 |
| 1821535527 | Collins Wade | Counselor | 808 S. Second St., Monroe, LA 71202 | 2017-01-20 |
| 1821533639 | Geoi Smart | Social Worker | 1602 Oaklawn Dr, Monroe, LA 71202 | 2017-01-03 |
| 1699124214 | Melody Miller | Case Manager/Care Coordinator | 205 Stacy Dr Apt A, Monroe, LA 71202 | 2016-06-04 |
| 1548618192 | Samuel Anjera Spivey Jr. | Case Manager/Care Coordinator | 110 Blackwood Dr, Monroe, LA 71202 | 2016-05-24 |
| Find all providers in zip 71202 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548502834 | Caring Hands 2 PCa | Custodial Care Facility | 1520 Richwood Road 1, Monroe, LA 71202-6891 | 2013-03-25 |
| 1932229895 | Ssc Monroe Operating Company LLC | Custodial Care Facility | 204 E Old Highway 74, Monroe, NC 28112-8122 | 2007-04-01 |
| 1174682678 | We Care Home Health Agency of Monroe Inc | Custodial Care Facility | 2006 Walkup Ave Ste C, Monroe, NC 28110-3750 | 2006-12-08 |
| 1407065352 | Kea,inc | Custodial Care Facility | 2911 Cameron St, Monroe, LA 71201-3713 | 2007-05-21 |
| 1316156268 | Kea,inc | Custodial Care Facility | 2911 Cameron St, Monroe, LA 71201-3713 | 2007-05-21 |
| 1669566675 | Supreme Home Health Services, Inc | Custodial Care Facility | 1110 Jackson St, Monroe, LA 71202-2024 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659614 | Sarah Ronella Caldwell | Custodial Care Facility | 129 General Macarthur St, Lafayette, LA 70501-5135 | 2019-09-24 |
| 1245766005 | Neuro Rehabcare of Hammond, LLC | Custodial Care Facility | 41238 Adams Rd, Hammond, LA 70403-2069 | 2017-05-11 |
| 1548554728 | Helping Hands for Healing Hearts LLC | Custodial Care Facility | 40377 Highway 190 E, Ste 200, Slidell, LA 70461-2522 | 2011-06-05 |
| 1093952723 | Saint Michael Health Care, LLC | Custodial Care Facility | 345 W Mills Ave, Breaux Bridge, LA 70517-4805 | 2009-01-16 |
| 1902073943 | Tender Love and Care Staffing Agency LLC | Custodial Care Facility | 11628 S Choctaw Dr Ste 219, Baton Rouge, LA 70815-2107 | 2008-05-09 |
| 1518135557 | Unlimited Care Services | Custodial Care Facility | 5487 Moulin Rouge Dr, Lake Charles, LA 70605-5283 | 2008-02-12 |
| 1487830568 | Good Shepherd Home Health | Custodial Care Facility | 2013 Oak Park Blvd Ste 101, Lake Charles, LA 70601-7833 | 2008-01-18 |
| 1932383908 | Jane Lockett Harman Outreach, Inc | Custodial Care Facility | 801 S Lewis St, Ste 3, New Iberia, LA 70560-4882 | 2007-12-26 |
| 1962681544 | Jane Lockett Hartman Outreach | Custodial Care Facility | 801 S Lewis St Ste 3, New Iberia, LA 70560-4882 | 2007-10-30 |
| 1912186131 | Community Healthcare Solutions, L.l.c | Custodial Care Facility | 2500 Centenary Blvd Unit 11, Shreveport, LA 71104-2469 | 2007-10-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.