SUPREME HOME CARE AGENCY OF NY INC
NPI 1275076580
Home Health in Flushing, NY

Active since November 18, 2016
15405 NORTHERN BLVD FL 3, FLUSHING, NY 11354(718) 888-0855(718) 353-9212 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 5, 2025, Feb 28, 2017, Nov 18, 2016 (3 updates tracked since 2016).

About Supreme Home Care Agency Of Ny Inc NPPES

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

SUPREME HOME CARE AGENCY OF NY INC (NPI 1275076580), doing business as Nu Home Care, is a healthcare organization registered as a home health in Flushing, New York and active in the NPI registry since November 2016. The organization lists Youngsoon Lee, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275076580
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSUPREME HOME CARE AGENCY OF NY INC
Location Address15405 NORTHERN BLVD FL 3Flushing, NY 11354-6724
Mailing Address15405 Northern Blvd Fl 3Flushing, NY 11354-6724 · (718) 888-0855 · Fax (718) 353-9212
Fax(718) 353-9212
Organization SubpartNo
Authorized OfficialYoungsoon LeeCeo · (718) 888-0855
Enumeration DateNovember 18, 2016
Last NPPES UpdateSeptember 5, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1275076580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in NY · 1935L001
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.
15405 NORTHERN BLVD FL 3, Flushing, NY 11354

Other Names 1

Doing Business AsNu Home Care

Other Identifiers 1

Medicaid04505657NY

Other Providers at the Same Location NPPES

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

Home Health
15405 NORTHERN BLVD FL 3
FLUSHING, NY 11354

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 Care Agency Of Ny Inc's NPI number?

The NPI number for Supreme Home Care Agency Of Ny Inc is 1275076580. It was assigned to this organization in the NPPES registry on November 18, 2016. The provider is doing business as NU Home Care.

Where is Supreme Home Care Agency Of Ny Inc located?

Supreme Home Care Agency Of Ny Inc is located at 15405 Northern Blvd Fl 3, Flushing, NY 11354. The listed phone number is (718) 888-0855.

What is Supreme Home Care Agency Of Ny Inc'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 Care Agency Of Ny Inc was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.