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SUPREME HEALTH CARE LLC
NPI 1568904233
Home Health in O Fallon, MO

Active since November 12, 2016
161 BOARDWALK GARDENS DR, O FALLON, MO 63368(314) 314-3219 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 11, 2021, Mar 2, 2021, Nov 5, 2020 and 2 more (5 updates tracked since 2016).

About Supreme Health Care Llc NPPES

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

SUPREME HEALTH CARE LLC (NPI 1568904233) is a healthcare organization registered as a home health in O Fallon, Missouri and active in the NPI registry since November 2016. The organization lists Agyeman Manu-dapaah, Owner, as its authorized official.

NPPES Registry Identity

NPI1568904233
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSUPREME HEALTH CARE LLC
Location Address161 BOARDWALK GARDENS DRO Fallon, MO 63368-3915
Mailing Address161 Boardwalk Gardens DrO Fallon, MO 63368-3915 · (314) 680-9471
Phone(314) 314-3219
Organization SubpartNo
Authorized OfficialAgyeman Manu-dapaahOwner · (314) 313-8456
Enumeration DateNovember 12, 2016
Last NPPES UpdateMay 11, 20215 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
✔ NPI 1568904233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
161 BOARDWALK GARDENS DR, O Fallon, MO 63368
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Other Names 1

Doing Business AsSupreme Health Care Llc

Other Providers at the Same Location NPPES

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

TRINITY CARE SERVICES
Community/Behavioral Health
161 BOARDWALK GARDENS DR
O FALLON, MO 63368
St. Charles County (314) 313-8456

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 Health Care LLC's NPI number?

The NPI number for Supreme Health Care LLC is 1568904233. It was assigned to this organization in the NPPES registry on November 12, 2016.

Where is Supreme Health Care LLC located?

Supreme Health Care LLC is located at 161 Boardwalk Gardens Dr, O Fallon, MO 63368. The listed phone number is (314) 314-3219.

What is Supreme Health Care 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 Health Care LLC was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.