Organization
SUPREME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES IDEMUDIA (LPN- MANAGER)
(602) 327-6605
Entity
Organization
Contact information
Practice address
16088 W SOFT WIND DR, SURPRISE, AZ 85387-1668
(602) 327-6605
Mailing address
16088 W SOFT WIND DR, SURPRISE, AZ 85387-1668
(602) 327-6605
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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