Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Supreme Healthcare LLC

Organization Home Health Agency · NPI 1467349704

Supreme Healthcare LLC is a Home Health Agency in Surprise, Arizona. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16088 W Soft Wind Dr
Surprise, AZ 85387-1668
Phone: (602) 327-6605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Care Agency (primary) Taxonomy 251J00000X
Home Health Agency Taxonomy 251E00000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X
Private Vehicle Taxonomy 347C00000X
Transportation Broker Taxonomy 347E00000X

Record details

NPI number1467349704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Idemudia — Lpn- Manager · (602) 327-6605
NPI enumeratedJune 19, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address16088 W Soft Wind Dr, Surprise, AZ 85387-1668

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