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SUPREME HOME HEALTH CARE SERVICES, LLC
NPI 1164910527
Home Health in Saint Ann, MO

Active since May 01, 2018
3191 ASHBY RD STE 3, SAINT ANN, MO 63074(314) 395-8989(314) 395-1876 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 19, 2025, May 1, 2018 (2 updates tracked since 2018).

About Supreme Home Health Care Services, Llc NPPES

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

SUPREME HOME HEALTH CARE SERVICES, LLC (NPI 1164910527) is a healthcare organization registered as a home health in Saint Ann, Missouri and active in the NPI registry since May 2018. The organization lists Lakecia Gray, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1164910527
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSUPREME HOME HEALTH CARE SERVICES, LLC
Location Address3191 ASHBY RD STE 3Saint Ann, MO 63074-3805
Mailing Address3191 Ashby Rd Ste 3Saint Ann, MO 63074-3805 · (314) 395-8989 · Fax (314) 395-1876
Phone(314) 395-8989
Fax(314) 395-1876
Organization SubpartNo
Authorized OfficialLakecia GrayExecutive Director · (314) 395-8989
Enumeration DateMay 1, 2018
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1164910527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3191 ASHBY RD STE 3, Saint Ann, MO 63074
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Other Providers at the Same Location NPPES

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

SUPREME INHOME SERVICES LLC
In Home Supportive Care
3191 ASHBY RD STE 3
SAINT ANN, MO 63074
St. Louis County (314) 395-8989

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 Care Services, LLC's NPI number?

The NPI number for Supreme Home Health Care Services, LLC is 1164910527. It was assigned to this organization in the NPPES registry on May 1, 2018.

Where is Supreme Home Health Care Services, LLC located?

Supreme Home Health Care Services, LLC is located at 3191 Ashby Rd Ste 3, Saint Ann, MO 63074. The listed phone number is (314) 395-8989.

What is Supreme Home Health Care Services, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Supreme Home Health Care Services, LLC was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.