# SUPREME HOME CARE GIVERS AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUPRENE HOME CARE GIVERS AGENCY LLC
- **Other names:** SUPREME HOME CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609644210
- **Legal business name:** SUPRENE HOME CARE GIVERS AGENCY LLC
- **Authorized official:** MS. PAMALA REED (OWNER)
- **Authorized official phone:** (313) 989-3576

## Contact information

- **Practice address:** 3011 W GRAND BLVD STE 858, DETROIT, MI 48202-3077
- **Practice address phone:** (313) 989-3576
- **Practice address fax:** (313) 338-3985
- **Mailing address:** 6601 CHELSEA BRG, WEST BLOOMFIELD, MI 48322-3074
- **Mailing address phone:** (313) 989-3576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | — |
| 372500000X | Chore Provider | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2023
- **Last updated:** 12/13/2023