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Organization
SUPREME CAREAIDE
Active
Organization
SUPREME CAREAIDE
Active
Other names
Seven Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
CORNESHA YOUNG LVN (ADMINISTRATOR)
(817) 438-6989
Entity
Organization
Contact information
Practice address
5601 BRIDGE ST, FORT WORTH, TX 76112-2384
(817) 438-6989
(817) 438-6444
Mailing address
5601 BRIDGE ST, FORT WORTH, TX 76112-2384
(817) 438-6989
(817) 438-6444
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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