SUPREME HOME HEALTH CARE, LLC – Home Health Agency, NPI 1912095142

SUPREME HOME HEALTH CARE, LLC is a healthcare provider. based in Miramar, Florida. specializing in Home Health Agency. The organization holds a License No. 299992504 (FL). The NPI Number for SUPREME HOME HEALTH CARE, LLC is 1912095142

Main info

Organization
Name
SUPREME HOME HEALTH CARE, LLC
NPI
1912095142
Phone
(954) 431-1681
Address
8910 MIRAMAR PKWY STE 315
Authorized Official
MR. CANUTE V ANDERSON ADMINISTRATOR R.N.
Enumeration Date
11 October 2006
Last Update Date
29 October 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for SUPREME HOME HEALTH CARE, LLC

  • 8910 MIRAMAR PKWY STE 315

    MIRAMAR, FL 330254100

    Phone: (954) 431-1681

    Fax: (954) 431-1699

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-03-31 (70 days ago).

Enrollment records

1

Earliest due date

2026-03-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20090529000162OHome Health AgencyFL2026-03-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33025)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for SUPREME HOME HEALTH CARE, LLC?
SUPREME HOME HEALTH CARE, LLC — NPI 1912095142 — is the standard way to identify this listing.
Can I rely on SUPREME HOME HEALTH CARE, LLC being an active provider?
As of the registry snapshot, SUPREME HOME HEALTH CARE, LLC is marked active.
What is SUPREME HOME HEALTH CARE, LLC's primary classification?
Home Health Agency is the headline specialty for SUPREME HOME HEALTH CARE, LLC here. Clinical services aligned with this taxonomy classification.
Where should I expect SUPREME HOME HEALTH CARE, LLC on a map?
Expect Miramar, Florida as a primary anchor for SUPREME HOME HEALTH CARE, LLC unless the record lists multiple sites.
Is the information about SUPREME HOME HEALTH CARE, LLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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