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SUPREME HEALTHCARE LLC
NPI 1467349704
Nursing Care in Surprise, AZ

Active since June 19, 2025
16088 W SOFT WIND DR, SURPRISE, AZ 85387(602) 327-6605 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supreme Healthcare Llc NPPES

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

SUPREME HEALTHCARE LLC (NPI 1467349704) is a healthcare organization registered as a nursing care in Surprise, Arizona and active in the NPI registry since June 2025. The organization lists Charles Idemudia, Lpn- Manager, as its authorized official.

NPPES Registry Identity

NPI1467349704
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameSUPREME HEALTHCARE LLC
Location Address16088 W SOFT WIND DRSurprise, AZ 85387-1668
Mailing Address16088 W Soft Wind DrSurprise, AZ 85387-1668 · (602) 327-6605
Phone(602) 327-6605
Organization SubpartNo
Authorized OfficialCharles IdemudiaLpn- Manager · (602) 327-6605
Enumeration DateJune 19, 2025
NPPES CertifiedJune 19, 2025
✔ NPI 1467349704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedPrivate VehicleTaxonomy 347C00000X
Also ListedTransportation BrokerTaxonomy 347E00000X
16088 W SOFT WIND DR, Surprise, AZ 85387
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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.

CHARLES IDEMUDIA
Licensed Practical Nurse
16088 W SOFT WIND DR
SURPRISE, AZ 85387
Maricopa County (602) 327-6605

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 Healthcare LLC's NPI number?

The NPI number for Supreme Healthcare LLC is 1467349704. It was assigned to this organization in the NPPES registry on June 19, 2025.

Where is Supreme Healthcare LLC located?

Supreme Healthcare LLC is located at 16088 W Soft Wind Dr, Surprise, AZ 85387. The listed phone number is (602) 327-6605.

What is Supreme Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Supreme Healthcare LLC was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.