Supreme Healthcare LLC
NPI 1467349704 · Nursing Care Agency · Surprise, AZ
Supreme Healthcare LLC is a Nursing Care Agency organization in Surprise, AZ (NPI 1467349704).
Provider details
- NPI number
- 1467349704
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Charles Idemudia, LPN- Manager(602) 327-6605
Specialties & taxonomies
Agencies
- Home Health Agency251E00000X
Agencies
- Transportation Broker347E00000X
Transportation Services
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
- Private Vehicle347C00000X
Transportation Services
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-19
- Last updated
- 2025-06-19
- Certified
- 2025-06-19
Frequently asked questions
- What is Supreme Healthcare LLC's NPI number?
- Supreme Healthcare LLC's National Provider Identifier (NPI) is 1467349704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Healthcare LLC?
- Supreme Healthcare LLC is classified in the NPPES registry as Nursing Care Agency (Agencies).
- Where is Supreme Healthcare LLC located?
- Supreme Healthcare LLC's practice location on file with NPPES is 16088 W Soft Wind Dr, Surprise, AZ 85387-1668.
- What is Supreme Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Supreme Healthcare LLC is (602) 327-6605.
- Who is the authorized official for Supreme Healthcare LLC?
- The authorized official listed on Supreme Healthcare LLC's NPPES record is Charles Idemudia, LPN- Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Healthcare LLC's NPI active?
- Yes — Supreme Healthcare LLC's NPI (1467349704) is active in the NPPES registry as of the last update on 2025-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.