SUPREME HOME HEALTH SERVICES INC
NPI 1003082421
Custodial Care Facility in Monroe, LA

Active since May 06, 2008CLIA 19D0884570 · Waiver
1110 JACKSON ST, MONROE, LA 71202(318) 323-5489(318) 323-8602 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Supreme Home Health Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPREME HOME HEALTH SERVICES INC (NPI 1003082421) is a healthcare organization registered as a custodial care facility in Monroe, Louisiana and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Emily B Winston, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003082421
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameSUPREME HOME HEALTH SERVICES INC
Location Address1110 JACKSON STMonroe, LA 71202-2024
Mailing Address1110 Jackson St, Po Box 3145Monroe, LA 71202-2024 · (318) 323-5489 · Fax (318) 323-8602
Fax(318) 323-8602
Organization SubpartNo
Authorized OfficialEmily B WinstonAdministrator · (318) 323-5489
Enumeration DateMay 6, 2008
NPI 1003082421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
License Licensed in LA · 3586
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
1110 JACKSON ST, Monroe, LA 71202

Other Identifiers 1

Medicaid1462233LA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D0884570

Supreme Home Health Services, Inc · Monroe, LA
Active · expires Apr 4, 2028
CLIA Number19D0884570
Laboratory TypeHome Health Agency
Certificate Effective DateApril 5, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorEmily B. Winston
Laboratory Phone(318) 323-5489
Laboratory LocationSupreme Home Health Services, Inc1110 Jackson Street, Monroe, LA 71202
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
1110 JACKSON ST
MONROE, LA 71202
Custodial Care Facility
1110 JACKSON ST
MONROE, LA 71202
Home Health
1110 JACKSON ST
MONROE, LA 71202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supreme Home Health Services Inc's NPI number?

The NPI number for Supreme Home Health Services Inc is 1003082421. It was assigned to this organization in the NPPES registry on May 6, 2008.

Where is Supreme Home Health Services Inc located?

Supreme Home Health Services Inc is located at 1110 Jackson St, Monroe, LA 71202. The listed phone number is (318) 323-5489.

What is Supreme Home Health Services Inc's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

Does Supreme Home Health Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0884570) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Supreme Home Health Services Inc was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.