Organization
SUPREME REHAB INC
Active
Other names
SUPREME HOME CARE AND REHAB INC
Organization subpart
No
Provider details
NPI number
Authorized official
NASEEM AHMED KHAN (OWNER / ADMINISTRATOR)
(248) 214-1234
Entity
Organization
Contact information
Practice address
29930 W 12 MILE RD STE 3, FARMINGTON HILLS, MI 48334-3983
(248) 862-2512
(248) 862-2145
Mailing address
29930 W 12 MILE RD STE 3, FARMINGTON HILLS, MI 48334-3983
(248) 862-2512
(248) 862-2145
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
638089
MI
332B00000X
Durable Medical Equipment & Medical Supplies
4105160001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E828
BCBS OF MICHIGAN
MI
05
—
2039402
—
MI
Enumeration date
11/17/2006
Last updated
04/16/2022
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