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Supreme Home Care, Inc
Home Health Agency in Tempe, Arizona
NPI 1295951473

Supreme Home Care, Inc is a Home Health Agency based in Tempe, AZ. Supreme Home Care, Inc practices in Tempe, AZ. The NPI Number for Supreme Home Care, Inc is 1295951473 and holds a License No. HHA3554 (Arizona).

The current practice location address for Supreme Home Care, Inc is 1204 E Baseline Rd Ste 204, Tempe, AZ and can be reached out via phone at 602-454-0155 and via fax at 602-454-0156.

Location: 1204 E Baseline Rd Ste 204, Tempe, AZ, 85283-1453
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295951473
Provider Name
Supreme Home Care, Inc
Credential
Provider Entity Type
Organization
Address
1204 E Baseline Rd Ste 204, Tempe, AZ, 85283-1453
Phone Number
602-454-0155
Fax Number
602-454-0156
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
927577 05 AZ
institution
Provider Business Practice Location Address Details
Address
1204 E Baseline Rd Ste 204
City
Tempe
State
Arizona
Zip
85283-1453
Phone Number
602-454-0155
Fax Number
602-454-0156
person
Provider Business Mailing Address Details
Address
1204 E Baseline Rd Ste 204
City
Tempe
State
Arizona
Zip
85283-1453
Phone Number
602-454-0155
Fax Number
602-454-0156
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
HHA3554 (Arizona)
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.
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