Organization
SUPREME HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY DAVIS (PRESIDENT)
(602) 454-0155
Entity
Organization
Contact information
Practice address
1204 E BASELINE RD STE 204, TEMPE, AZ 85283-1453
(602) 454-0155
(602) 454-0156
Mailing address
1204 E BASELINE RD STE 204, TEMPE, AZ 85283-1453
(602) 454-0155
(602) 454-0156
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA3554
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
927577
—
AZ
Enumeration date
04/17/2007
Last updated
09/27/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us