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SUPRA CARES INC
NPI 1639904428
Home Health in El Sobrante, CA

Active since September 03, 2024CLIA 05D2333087 · Waiver
3980 SAN PABLO DAM RD STE 101, EL SOBRANTE, CA 94803(510) 775-5670 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2025, Sep 3, 2024 (2 updates tracked since 2024).

About Supra Cares Inc NPPES

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

SUPRA CARES INC (NPI 1639904428), doing business as Supra Cares Home Health, is a healthcare organization registered as a home health in El Sobrante, California and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Sujan Gautam, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639904428
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSUPRA CARES INC
Location Address3980 SAN PABLO DAM RD STE 101El Sobrante, CA 94803-2816
Mailing Address6224 N Arlington BlvdSan Pablo, CA 94806-4276 · (318) 243-5254
Phone(510) 775-5670
Organization SubpartNo
Authorized OfficialSujan GautamAdministrator · (318) 243-5254
Enumeration DateSeptember 3, 2024
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1639904428 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.
3980 SAN PABLO DAM RD STE 101, El Sobrante, CA 94803
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Other Names 1

Doing Business AsSupra Cares Home Health

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2333087

Supra Cares Inc Dba Supra Cares Home Health · El Sobrante, CA
Active · expires Oct 28, 2027
CLIA Number05D2333087
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorStephens Claudell
Laboratory Phone(510) 592-7772
Laboratory LocationSupra Cares Inc Dba Supra Cares Home Health3980 San Pablo Dam Road, Suite 101, El Sobrante, CA 94803
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Supra Cares Inc's NPI number?

The NPI number for Supra Cares Inc is 1639904428. It was assigned to this organization in the NPPES registry on September 3, 2024. The provider is doing business as Supra Cares Home Health.

Where is Supra Cares Inc located?

Supra Cares Inc is located at 3980 San Pablo Dam Rd Ste 101, El Sobrante, CA 94803. The listed phone number is (510) 775-5670.

What is Supra Cares Inc's specialty?

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

Does Supra Cares Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2333087) is associated with this NPI, valid through October 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Supra Cares Inc was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.