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SUPREME HOME HEALTHCARE
NPI 1922995364
Home Health in Reading, PA

Active since June 19, 2025CLIA 39D2344702 · Waiver
20 OSWEGO LN, READING, PA 19605(484) 769-5070 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Supreme Home Healthcare NPPES

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

SUPREME HOME HEALTHCARE (NPI 1922995364) is a healthcare organization registered as a home health in Reading, Pennsylvania and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Mohamed Fofanah, Governing Body Chairperson, as its authorized official.

NPPES Registry Identity

NPI1922995364
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSUPREME HOME HEALTHCARE
Location Address20 OSWEGO LNReading, PA 19605-7018
Mailing Address20 Oswego LnReading, PA 19605-7018 · (484) 769-5070
Phone(484) 769-5070
Organization SubpartNo
Authorized OfficialMohamed FofanahGoverning Body Chairperson · (614) 929-1931
Enumeration DateJune 19, 2025
NPPES CertifiedJune 19, 2025
✔ NPI 1922995364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedNursing CareTaxonomy 251J00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X
20 OSWEGO LN, Reading, PA 19605
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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 39D2344702

Supreme Home Healthcare LLC · Reading, PA
Active · expires May 27, 2028
CLIA Number39D2344702
Laboratory TypeHome Health Agency
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorOumar Sano
Laboratory Phone(484) 650-5859
Laboratory LocationSupreme Home Healthcare LLC20 Oswego Ln, Reading, PA 19605
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 Supreme Home Healthcare's NPI number?

The NPI number for Supreme Home Healthcare is 1922995364. It was assigned to this organization in the NPPES registry on June 19, 2025.

Where is Supreme Home Healthcare located?

Supreme Home Healthcare is located at 20 Oswego Ln, Reading, PA 19605. The listed phone number is (484) 769-5070.

What is Supreme Home Healthcare's specialty?

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

Does Supreme Home Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2344702) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Supreme Home Healthcare 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 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.