NPI 1467349704

Supreme Healthcare LLC

Organisation Nursing Care Agency Surprise, AZ

Practice location

Address: 16088 W Soft Wind Dr, Surprise, AZ 85387-1668
Phone: (602) 327-6605

Authorised official

Name: Charles Idemudia
Title: Lpn- Manager
Phone: (602) 327-6605

Registered specialties (5)

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X

Other Nursing Care providers in Arizona →

Home Health Agency

Agencies Taxonomy 251E00000X

Other Home Health providers in Arizona →

Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X

Other Non-emergency Medical Transport (VAN) providers in Arizona →

Private Vehicle

Transportation Services Taxonomy 347C00000X

Other Private Vehicle providers in Arizona →

Transportation Broker

Transportation Services Taxonomy 347E00000X

Other Transportation Broker providers in Arizona →

Registry record

NPI: 1467349704
Entity type: Organization
NPI issued: 19 Jun 2025
Record last updated: 19 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.