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SUPREME HOME HEALTH SERVICES INC NPI 1669566675


NPI Information

NPI: 1669566675
Provider Name: SUPREME HOME HEALTH SERVICES, INC
Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization

CLIA Number: 19D0884570

Address:
1110 JACKSON ST
MONROE, LA
ZIP 71202
Phone: (318) 323-5489
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SUPREME HOME HEALTH SERVICES, INC is a custodial care facility in Monroe, LA. The provider is 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. SUPREME HOME HEALTH SERVICES, INC NPI is 1669566675. The provider is registered as an organization entity type.

The provider's business location address is:

1110 JACKSON ST
MONROE, LA
ZIP 71202-024
Phone: (318) 323-5489
Fax: (318) 323-8602

The provider's authorized official is Emily B. Winston .
The authorized official title is C.e.o. and has the following contact phone number (318) 323-5489.

The CLIA number assigned to this NPI record is 19D0884570 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 3/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311Z00000XCustodial Care Facility3586LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11660094OTHERLOUISIANAPERSONAL CARE ATTENDANT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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