Organization
SUPREME HOME CARE AGENCY OF NY INC
Active
Other names
NU Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNGSOON LEE (CEO)
(718) 888-0855
Entity
Organization
Contact information
Practice address
15405 NORTHERN BLVD FL 3, FLUSHING, NY 11354-6724
(718) 888-0855
(718) 353-9212
Mailing address
15405 NORTHERN BLVD FL 3, FLUSHING, NY 11354-6724
(718) 888-0855
(718) 353-9212
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1935L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04505657
—
NY
Enumeration date
11/18/2016
Last updated
09/05/2025
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