SUPREME HOME HEALTHCARE SERVICES LLC


Address: 694 Merrimack St, Lowell, MA 01854-3915
Phone: 5102055422

SUPREME HOME HEALTHCARE SERVICES LLC (NPI# 1033666805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033666805
Entity Type Organization
Organization Name SUPREME HOME HEALTHCARE SERVICES LLC
Practice Address 694 Merrimack St
Lowell
MA 01854-3915
Practice Telephone 5102055422
Practice Fax Number 9786679742
Mailing Telephone 5102055422
Mailing Fax Number 9786679742
Enumeration Date 2016-09-08
Last Update Date 2016-09-08
Authorized Official Name MICHEAL TEMBO (MANAGER)
Authorized Official Telephone 5102055422
Authorized Official Credential BSC. BUSINESS/NU
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Office Location

Street Address 694 MERRIMACK ST
City LOWELL
State MA
Zip Code 01854-3915

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1730604661 Grecia Aybar Counselor 11 White Street, Lowell, MA 01854 2017-08-11
1659812550 Krystal Demmons Counselor 371 Varnum Ave, Lowell, MA 01854 2017-03-13
1891115366 Stacey Bourbeau Counselor 391 Varnum Avenue Lower Level, Lowell, MA 01854 2014-04-23
1013270446 Alexandra Miniati Internal Medicine 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 2012-06-20
1750608923 Elisha S Bartlett Social Worker 391 Varnum Avenue, Lowell, MA 01854 2010-04-28
1871820399 Sandy Ann Thongkhamsouk Counselor 391 Varnum St., Lowell, MA 01854 2009-11-04
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255944385 Rosebud Healthcare Staffing Inc. Home Health 129 3rd St, Lowell, MA 01850-2509 2020-08-28
1386278919 Care Demands LLC Home Health 111 Fulton St, Lowell, MA 01850-1945 2020-02-21
1699211177 Aeiges Healthcare Services LLC Home Health 115 Chelmsford St, Lowell, MA 01851-2621 2017-01-09
1851840698 Cns Nursing Home Care, Inc. Home Health 847 Rogers St Ste 201, Lowell, MA 01852-4345 2016-09-21
1154878163 San Say Home Health 296 Westford St, Lowell, MA 01851-2526 2016-09-07
1316305857 Zion Home Health Services LLC Home Health 527 Pawtucket Blvd Unit 310, Lowell, MA 01854-2043 2016-01-28
1962867606 Heart Felt Home Health Care Inc. Home Health 36 Fremont St., Lowell, MA 55428 2015-12-23
1417321704 Bluesky Homecare Services LLC Home Health 75 Bedford Ave, Lowell, MA 01854-2001 2015-11-24
1861863300 Live Home Health Care LLC Home Health 38 Corinthian Dr, Lowell, MA 01854-1348 2015-10-09
1164890885 Ideal Home Care Inc Home Health 86 Bridge St, Unit 104, Lowell, MA 01852-1218 2015-09-11
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City LOWELL
Zip Code 01854

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Dataset Information

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.

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