SUPREME HOME CARE PROVIDER, LLC
NPI 1427328780
Home Health in Golden Valley, MN

Q: What is Supreme Home Care Provider, LLC's NPI number?

The NPI number for Supreme Home Care Provider, LLC is 1427328780. It was assigned to this organization in the NPPES registry on January 4, 2012.

Q: What is Supreme Home Care Provider, LLC's specialty?

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

Active since January 04, 2012

1710 DOUGLAS DR N STE 277, GOLDEN VALLEY, MN 55422(763) 710-9907(763) 710-9976 Get Directions Write a Review

NPPES record last updated: May 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Supreme Home Care Provider, Llc NPPES

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

SUPREME HOME CARE PROVIDER, LLC (NPI 1427328780) is a healthcare organization registered as a home health in Golden Valley, Minnesota and active in the NPI registry since January 2012. The organization lists Hassan Osman Yusuf, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1427328780

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameSUPREME HOME CARE PROVIDER, LLC

Location Address1710 DOUGLAS DR N STE 277Golden Valley, MN 55422-4344

Mailing Address1710 Douglas Dr N Ste 277Golden Valley, MN 55422-4344 · (763) 710-9907 · Fax (763) 710-9976

Phone(763) 710-9907

Fax(763) 710-9976

Organization SubpartNo

Authorized OfficialHassan Osman YusufOwner/manager · (763) 710-9907

Enumeration DateJanuary 4, 2012

Last NPPES UpdateMay 22, 2015

✔ NPI 1427328780 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.

1710 DOUGLAS DR N STE 277, Golden Valley, MN 55422

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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 Provider, LLC's NPI number?

The NPI number for Supreme Home Care Provider, LLC is 1427328780. It was assigned to this organization in the NPPES registry on January 4, 2012.

Where is Supreme Home Care Provider, LLC located?

Supreme Home Care Provider, LLC is located at 1710 Douglas Dr N Ste 277, Golden Valley, MN 55422. The listed phone number is (763) 710-9907.

What is Supreme Home Care Provider, 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 Care Provider, LLC was last updated on May 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.