SUPREME HOME HEALTH CARE AGENCY LLC (NPI# 1508377318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508377318 |
| Entity Type | Organization |
| Organization Name | SUPREME HOME HEALTH CARE AGENCY LLC |
| Practice Address |
66 Lincoln St Fl 1 East Orange NJ 07017-2311 |
| Practice Telephone | 2019363582 |
| Practice Fax Number | 8889598179 |
| Mailing Telephone | 2019363582 |
| Mailing Fax Number | 8889598179 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |
| Authorized Official Name | MR. ELMOGIRA ELHILO (OPERATING MANAGER) |
| Authorized Official Telephone | 2019363582 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251J00000X | Nursing Care | Agencies |
| Street Address |
66 LINCOLN ST FL 1 |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07017-2311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255993101 | Yvonne Jansen-pearce | Licensed Practical Nurse | 212 N Mum Ave., East Orange, NJ 07017 | 2019-07-01 |
| 1356821508 | Kinfolk Advanced Illness Nurse Practitioners | Nurse Practitioner | 16 Eastwood St, East Orange, NJ 07017 | 2018-08-17 |
| 1619490992 | Holy Hands Enterprises L.l.c | Home Health | 7 Glenwood Ave., Suite 419-b, 4th Floor., East Orange, NJ 07017 | 2017-07-19 |
| 1760902688 | Kenneth Amoah Gyan | Nurse Practitioner | 28a Melmore Gardens, East Orange, NJ 07017 | 2017-06-21 |
| 1487002192 | Robert William Reilly | Student in an Organized Health Care Education/Training Program | 344 Prospect Street, East Orange, NJ 07017 | 2016-06-03 |
| 1497114474 | Alicja U Pietrzak | Behavioral Analyst | 60 Evergreen Pl., 3rd Floor Suite 309, East Orange, NJ 07017 | 2016-02-18 |
| 1396147658 | Angela Gordon | Licensed Practical Nurse | 12 Lawton Street, East Orange, NJ 07017 | 2014-09-18 |
| 1063716488 | Yonas T Mehari | Specialist | 251 Hoffman Blvd, East Orange, NJ 07017 | 2010-12-28 |
| 1275833857 | Urban Healthcare Initiative Program Inc | Clinic/Center | 613 Park Avenue, East Orange, NJ 07017 | 2010-10-28 |
| 1881813285 | Trans America Care | Non-emergency Medical Transport (VAN) | 55 Washington Street, Suite# 308, East Orange, NJ 07017 | 2007-04-24 |
| Find all providers in zip 07017 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689134199 | New Dawn Health Solutions LLC | Nursing Care | 134 Evergreen Pl Ste 303-3, East Orange, NJ 07018-2011 | 2019-03-21 |
| 1063835080 | Angelic Home and Health Care Services | Nursing Care | 523 Prospect St, 8, East Orange, NJ 07017-3230 | 2014-01-27 |
| 1639406234 | Global Quality Healthcare Institute and Consultants LLC | Nursing Care | 129 S Clinton St, East Orange, NJ 07018-3010 | 2009-11-03 |
| 1598230815 | Henlucy Health System LLC | Nursing Care | 134 Evergreen Pl Ste 600, East Orange, NJ 07018-2011 | 2018-10-13 |
| 1609931476 | National Staffing Associates, Inc | Nursing Care | 134 Evergreen Pl, East Orange, NJ 07018-2011 | 2006-12-22 |
| 1033149612 | Midpoint Health Care Services, Inc | Nursing Care | 576 Central Ave, East Orange, NJ 07018-1951 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029981 | Protect It LLC | Nursing Care | 520 James St Ste 3a, Lakewood, NJ 08701-4052 | 2020-09-24 |
| 1265046338 | Nurse Staffers, Inc. | Nursing Care | 146 S Lakeview Dr Ste 200, Gibbsboro, NJ 08026-1018 | 2020-09-04 |
| 1699388553 | Blondyne Lexine-koch | Nursing Care | 879 W Chestnut St, Union, NJ 07083-6933 | 2020-08-28 |
| 1033735808 | Educational Center for The Disables. N J Non Profit | Nursing Care | 512 Union Ave Apt B2, Irvington, NJ 07111-2863 | 2020-06-17 |
| 1578113064 | Premier Medical Staffing Solutions, LLC | Nursing Care | 46 Jurocko Ave, Somerset, NJ 08873-2527 | 2019-09-16 |
| 1578022851 | Labor of Love Healthcare LLC | Nursing Care | 1967 Lincoln Highway, Suite 33, Edison, NJ 08817 | 2019-03-18 |
| 1629542253 | Mat/ch Care Service Inc. | Nursing Care | 12 Tiffany Pl, Irvington, NJ 07111-1911 | 2019-01-16 |
| 1457860231 | Cfcnj, Inc. | Nursing Care | 66 Ford Rd Ste 214, Denville, NJ 07834-1300 | 2017-09-25 |
| 1326578105 | Hudson Hills Senior Living, LLC | Nursing Care | 3505 Bergen Tpke, North Bergen, NJ 07047 | 2017-06-14 |
| 1083149975 | Mom and Pap's Home Care Agency, LLC | Nursing Care | 50 E Palisade Ave, 2nd Floor Suite 206, Englewood, NJ 07631-2933 | 2017-04-27 |
| Find all providers with the same taxonomy | ||||
| City | EAST ORANGE |
| Zip Code | 07017 |
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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.