Supreme Positive Innovation Services Llc

LBN: Supreme Positive Innovation Services Llc
Supreme Positive Innovation Services Llc is an health care organization with primary practice located at 1833 W Main St Ste 139-140 , Mesa AZ 85201-6922. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Supreme Positive Innovation Services Llc can be contacted via phone (602) 757-6786, or through Tamas, Katelyn Marie via phone (602) 757-6786.

Contact Information

Primary practice address
1833 W Main St Ste 139-140 Mesa AZ 85201-6922
Phone: (602) 757-6786
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tamas, Katelyn Marie
Phone: (602) 757-6786

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1215544903
LBN Legal business name Supreme Positive Innovation Services Llc
DBA Doing business as
Authorized official Tamas, Katelyn Marie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2020
Last updated Sep 28th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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