# SUPREME HOME HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447582085
- **Authorized official:** MS. SHERYL HEFFERNAN REGISTERED NURSE (DIRECTOR OF NURSING)
- **Authorized official phone:** (201) 372-9600

## Contact information

- **Practice address:** 71 UNION AVE, SUITE 207A, RUTHERFORD, NJ 07070-1274
- **Practice address phone:** (201) 372-9600
- **Practice address fax:** (201) 372-9550
- **Mailing address:** 71 UNION AVENUE, SUITE 207A, RUTHERFORD, NJ 07070
- **Mailing address phone:** (201) 372-9600
- **Mailing address fax:** (201) 372-9550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HP0123200 | NJ | Yes |
| 253Z00000X | In Home Supportive Care Agency | HP0123200 | NJ | — |

## Other

- **Enumeration date:** 02/08/2010
- **Last updated:** 02/08/2010