Supreme Home Care Provider, LLC
Supreme Home Care Provider, LLC is a Home Health Agency in Golden Valley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.
- Licensed in
- MN
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1710 Douglas Dr N Ste 277Golden Valley, MN 55422-4344
Phone: (763) 710-9907
Fax: (763) 710-9976
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X (MN) |
|---|
Record details
| NPI number | 1427328780 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hassan Yusuf — Owner/Manager · (763) 710-9907 |
| NPI enumerated | January 4, 2012 |
| Last updated in NPPES | May 22, 2015 |
| Mailing address | 1710 Douglas Dr N Ste 277, Golden Valley, MN 55422-4344 |
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