SUPREME HEALTH CARE LLC (NPI# 1568904233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568904233 |
| Entity Type | Organization |
| Organization Name | SUPREME HEALTH CARE LLC |
| Other Organization Name | SUPREME HOME CARE |
| Practice Address |
161 Boardwalk Gardens Dr O Fallon MO 63368-3915 |
| Practice Telephone | 3143143219 |
| Mailing Telephone | 3146809471 |
| Enumeration Date | 2016-11-12 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | AGYEMAN MANU-DAPAAH (PRESIDENT) |
| Authorized Official Telephone | 3146809471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| SUPREME HOME CARE | Doing Business As Name - Organization |
| Street Address |
161 BOARDWALK GARDENS DR |
| City | O FALLON |
| State | MO |
| Zip Code | 63368-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| 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 |
|---|---|---|---|---|
| 1528688751 | Roberta's Home Health Services LLC | Home Health | 300 Fort Zumwalt Sq Ste 108, O Fallon, MO 63366-3078 | 2020-04-17 |
| 1063972768 | Sdh Health Services LLC | Home Health | 545 Deer Brook Dr, O Fallon, MO 63366-5051 | 2019-03-20 |
| 1528531373 | Loving Spirits, LLC | Home Health | 7234 Ofallon Lake Dr, O Fallon, MO 63366-3864 | 2019-01-04 |
| 1831676378 | Bayada Home Health Care, Inc. | Home Health | 1004 Rock Creek Elementary School Dr, O Fallon, MO 63366-7576 | 2018-07-27 |
| 1770024150 | Enlightened Home Care LLC81 | Home Health | 404 Spring Trce, O Fallon, MO 63368-7461 | 2017-03-17 |
| 1649622630 | Affordable & Excellent Home Health Care | Home Health | 906 Green Briar Hills Dr, O Fallon, MO 63366-5597 | 2016-07-01 |
| 1487035135 | Legacy Home Health Services | Home Health | 7 Forest Haven Ct, O Fallon, MO 63368-6818 | 2015-06-17 |
| 1538418561 | Devine Healthcare LLC | Home Health | 956 Molloy Dr, O Fallon, MO 63366-3229 | 2012-09-05 |
| 1144511734 | Family Home Health Services of Missouri, LLC | Home Health | 2299 Technology Dr, Suite 225, O Fallon, MO 63368-7341 | 2011-04-29 |
| 1285963876 | Ak Home Health Care, LLC | Home Health | 39 Homeplate Ct, O Fallon, MO 63366-2040 | 2009-12-10 |
| Find all providers in O FALLON | ||||
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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.