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NPI Code Detail

MEDICARE: SUPREME TOUCH HEALTHCARE SERVICES LLC

MEDICARE: SUPREME TOUCH HEALTHCARE SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372600000XAdult Companion
23747P1801XPersonal Care Attendant
33747A0650XAttendant Care Provider
4251E00000XHome Health Agency
5372500000XChore Provider
6376J00000XHomemaker
7363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1861195612
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUPREME TOUCH HEALTHCARE SERVICES LLC
Provider Business Mailing Address
First Line : 117 LANTANA LN
Second Line :
City : WYLIE
State : TX
Zip : 75098-4636
Country : US
Telephone Number : 214-908-4483
Fax Number : 469-661-8098
Provider Business Practice Location Address
First Line : 117 LANTANA LN
Second Line :
City : WYLIE
State : TX
Zip : 75098-4636
Country : US
Telephone Number : 214-908-4483
Fax Number : 469-661-8098
Authorized Official
Title or Position : OWNER
Name : ANN AGBOR
Credential : APRN-CNP, RN
Telephone Number : 214-908-4483
Provider Enumeration Date : 03/22/2023
Last Update Date : 10/09/2025

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Directions to “SUPREME TOUCH HEALTHCARE SERVICES LLC ” Practice Location

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