SUPRENE HOME CARE GIVERS AGENCY LLC (NPI# 1720469893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720469893 |
| Entity Type | Organization |
| Organization Name | SUPRENE HOME CARE GIVERS AGENCY LLC |
| Other Organization Name | SUPREME HOME CARE |
| Practice Address |
3011 W Grand Blvd 858 Detroit MI 48202-3096 |
| Mailing Address |
32385 Glen Cv 5 Farmington Hills MI 48334-3663 |
| Practice Telephone | 3137824814 |
| Practice Fax Number | 3133388985 |
| Mailing Telephone | 3137824814 |
| Mailing Fax Number | 3133388985 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |
| Authorized Official Name | MS. PAMALA JOY REED (OWNER) |
| Authorized Official Telephone | 3139893576 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | E29729 | MI | Agencies |
| Other Name | Type Code |
|---|---|
| SUPREME HOME CARE | Doing Business As Name - Organization |
| Street Address |
3011 W GRAND BLVD 858 |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-3096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518956259 | Debra Ann Brodie | Psychologist | 3011 W Grand Blvd, Suite 418, Detroit, MI 48202-3096 | 2005-10-16 |
| 1073124772 | Crystal A. Jackson, Ph.d., LLP, LLC | Psychologist | 3011 W Grand Blvd, Detroit, MI 48202-3096 | 2020-08-14 |
| 1841707023 | Gospel Against Aids Inc | Community Health Worker | 3011 W Grand Blvd, Detroit, MI 48202-3096 | 2018-01-09 |
| 1033654595 | Tri-state Physicians Group PC | Emergency Medicine | 3011 W Grand Blvd, Suite 306, Detroit, MI 48202-3096 | 2016-12-19 |
| 1316482870 | New Center Medical PC | Emergency Medicine | 3011 W Grand Blvd, Suite 308, Detroit, MI 48202-3096 | 2016-12-19 |
| 1861934168 | Natlab Inc | Clinical Medical Laboratory | 3011 W Grand Blvd, Suite 309, Detroit, MI 48202-3096 | 2016-11-17 |
| 1427501733 | Detroit Public Schools Community District | Local Education Agency (LEA) | 3011 W Grand Blvd, 11th Floor Fisher Building, Detroit, MI 48202-3096 | 2016-08-03 |
| 1518326610 | Gabriel Williams Dds PC | Dentist | 3011 W Grand Blvd, Suite 867, Detroit, MI 48202-3096 | 2016-02-17 |
| 1649645284 | Tcw Surgical Center LLC | Clinic/Center | 3011 W Grand Blvd, Suite 305, Detroit, MI 48202-3096 | 2015-12-08 |
| 1275925950 | Health Pro LLC | Pharmacy | 3011 W Grand Blvd, Suite 300, Detroit, MI 48202-3096 | 2015-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104867 | Domestic Life Services LLC | Home Health | 11662 Heyden St, Detroit, MI 48228-1047 | 2020-11-05 |
| 1174124713 | Noble Home Health Care LLC | Home Health | 451 Hague St, Detroit, MI 48202-2122 | 2020-11-02 |
| 1467069286 | A Loving Touch Homecare Service LLC | Home Health | 7326 Roland St, Detroit, MI 48213-1011 | 2020-09-25 |
| 1578173720 | Deandre Shaw | Home Health | 9513 Beaconsfield St, Detroit, MI 48224-2849 | 2020-08-03 |
| 1639787716 | Brittany Care Services | Home Health | 19753 Appoline St, Detroit, MI 48235-1116 | 2020-07-15 |
| 1922616150 | Happy At Home LLC | Home Health | 14903 Artesian St, Detroit, MI 48223-2283 | 2020-07-14 |
| 1508489477 | Mostafa Galdi | Home Health | 6767 Saint Marys St, Detroit, MI 48228-3760 | 2020-05-26 |
| 1811518418 | Team Veteran,llc | Home Health | 19135 Van Dyke St, Detroit, MI 48234-3347 | 2020-05-05 |
| 1518593813 | Primary Healthcare Doctors LLC | Home Health | 13641 7e, Detroit, MI 48205 | 2020-03-18 |
| 1932739752 | Lucy Cares Home Health Care LLC | Home Health | 3651 Buckingham Ave, Detroit, MI 48224-3534 | 2020-01-21 |
| Find all providers in DETROIT | ||||
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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.