SUPREME SUPPORT SYSTEM INC (NPI# 1063056216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063056216 |
| Entity Type | Organization |
| Organization Name | SUPREME SUPPORT SYSTEM INC |
| Practice Address |
8904 Trimble Way Rosedale MD 21237-3910 |
| Practice Telephone | 4439836590 |
| Practice Fax Number | 4105586879 |
| Mailing Telephone | 4439836590 |
| Mailing Fax Number | 4105586879 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Authorized Official Name | MRS. FOLASHADE DIPE (CEO) |
| Authorized Official Telephone | 4436536186 |
| Authorized Official Credential | SOCIAL WORKER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8904 Trimble Way, Rosedale, MD 212373910 | 4439836590 | 4105586879 |
| Street Address |
8904 TRIMBLE WAY |
| City | ROSEDALE |
| State | MD |
| Zip Code | 21237-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
| 1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
| 1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
| 1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
| 1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
| 1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
| Find all providers in zip 21237 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578182408 | Spirit Fit and Health, LLC | Respite Care | 10417 Metropolitan Ave Ste B, Kensington, MD 20895-2649 | 2020-04-10 |
| 1093272775 | Jason Rosenberg | Respite Care | 20332 Brandermill Dr, Germantown, MD 20876-5602 | 2019-02-28 |
| 1841678315 | Starlite Care Services, Inc. | Respite Care | 7515 Annapolis Rd Ste 204, Hyattsville, MD 20784-1740 | 2015-05-15 |
| 1972852416 | Home Health | Respite Care | 1400 Anglesea Street, Apt 1b, Baltimore, MD 21224 | 2012-08-30 |
| 1285248856 | Caring Hands Inc | Respite Care | 2637 Greenmount Ave, Baltimore, MD 21218-4724 | 2020-09-01 |
| 1821312182 | Total Quality Residential Services, Inc. | Respite Care | 4121 Sihler Oaks Trl, Owings Mills, MD 21117-5004 | 2010-03-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.