SUPREME HOMECARE AGENCY OF NY INC
NPI 1962868570
Home Health in Flushing, NY

NPI Status: Active since January 12, 2016

Contact Information

15405 NORTHERN BLVD FL 3
FLUSHING, NY
ZIP 11354
Phone: (718) 888-0855
Fax: (718) 353-9212

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  • Organization
  • Home Health

About SUPREME HOMECARE AGENCY OF NY INC

This page provides the complete NPI Profile along with additional information for Supreme Homecare Agency Of Ny Inc, a provider established in Flushing, New York operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1962868570 assigned on January 2016. The practitioner's primary taxonomy code is 251E00000X with license number 1935L001 (NY). The provider is registered as an organization and their NPI record was last updated April 2026. The provider's . The authorized official of this NPI record is Youngsoon Lee (President)

NPI
1962868570
Provider Legal Name
SUPREME HOMECARE AGENCY OF NY INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
15405 NORTHERN BLVD FL 3 FLUSHING, NY 11354
Location Phone
(718) 888-0855
Location Fax
(718) 353-9212
Mailing Address
15405 NORTHERN BLVD FL 3 FLUSHING, NY 11354
Mailing Phone
(718) 888-0855
Mailing Fax
(718) 353-9212
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-12-2016
Last Update Date
04-08-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
1935L001
License State
NY
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

YOUNGSOON LEE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(718) 888-0855

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962868570, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 6 + 6 + 1 + 6 + 5 + 1 + 4 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1962868570.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Home Health
15405 NORTHERN BLVD FL 3
FLUSHING, NY 11354

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962868570, enumerated as an "organization" on January 12, 2016.

The provider is located at 15405 NORTHERN BLVD FL 3 FLUSHING, NY 11354 and the phone number is (718) 888-0855.

Home Health with taxonomy code 251E00000X.