SUPREME HEALTHCARE SERVICES, LLC


Address: 7608 Georgian Dr, Upper Marlboro, MD 20772-4496
Phone: 2404499174

SUPREME HEALTHCARE SERVICES, LLC (NPI# 1235543034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235543034
Entity Type Organization
Organization Name SUPREME HEALTHCARE SERVICES, LLC
Practice Address 7608 Georgian Dr
Upper Marlboro
MD 20772-4496
Practice Telephone 2404499174
Mailing Telephone 2404499174
Enumeration Date 2014-06-19
Last Update Date 2014-08-04
Authorized Official Name RESIKAT AFOLAKE AFOLABI (DIRECTOR OF NURSING)
Authorized Official Telephone 2404499174
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251J00000X Nursing Care R3590P MD Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MD RESIDENTIAL SERVICE AGENCY R3590P 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871864124 Supreme Healthcare Services, LLC Custodial Care Facility 4611 Clay St Ne, Washington, DC 20019-4663 2012-01-18

Office Location

Street Address 7608 GEORGIAN DR
City UPPER MARLBORO
State MD
Zip Code 20772-4496

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154736106 Rachael Afolabi Nurse's Aide 7608 Georgian Dr, Upper Marlboro, MD 20772-4496 2014-06-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497355077 Doris Lynn Perkins Pharmacist 5700 Southeast Crain Hwy, Upper Marlboro, MD 20772 2020-10-31
1730790221 Creative Mind Therapy Community/Behavioral Health 12419 Dorsey Ln, Upper Marlboro, MD 20772 2020-08-10
1932727369 Shaquitta Morton Behavior Technician 9440 Marlboro Pike 100, Upper Marlboro, MD 20772 2020-07-13
1760022958 Keri Daniel Nurse Practitioner 9723 Frank Tippett Rd, Upper Marlboro, MD 20772 2020-01-15
1932668134 Dentistry for Children of Maryland, LLC Clinic/Center 9616 Marlboro Pike, Upper Marlboro, MD 20772 2019-03-18
1033673918 Shonte Renee Drakeford Nurse Practitioner 6610 Woodyard Road, Upper Marlboro, MD 20772 2019-01-25
1902391261 Myenne Hanson Home Health Aide 5002 Ashford Dr, Upper Marlboro, MD 20772 2018-06-28
1659884849 Clement Okehie Home Health Aide 13939 Bishops Bequest Rd, Upper Marlboro, MD 20772 2017-11-09
1497264766 Fatu Barrie Technician 11112 Cranfod Drive, Upper Marlboro, MD 20772 2017-09-29
1801315080 Hope Academy & Nursing Services Nursing Care 14101 Christian Street, Upper Marlboro, MD 20772 2017-09-19
Find all providers in zip 20772

Taxonomy Information

Taxonomy Code 251J00000X
Grouping Agencies
Classification Nursing Care

Taxonomy Definition

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811487382 Renaissance Healthcare, LLC Nursing Care 1302 Eddington Dr, Upper Marlboro, MD 20774-1942 2018-05-10
1184129298 Grace Line Nursing LLC Nursing Care 15445 Depot Ln, Upper Marlboro, MD 20772-3157 2018-03-29
1841702065 Sunshine Health Staffing LLC Nursing Care 4504 Lord Loudoun Ct, Upper Marlboro, MD 20772-5946 2017-10-27
1801315080 Hope Academy & Nursing Services Nursing Care 14101 Christian Street, Upper Marlboro, MD 20772 2017-09-19
1518345610 Cls Nursing Services Nursing Care 6531 Dower House Rd, Upper Marlboro, MD 20772-3802 2015-05-11
1073954368 Ugo Oluchi Azuewah Nursing Care 951 Dunloring Ct, Upper Marlboro, MD 20774-5780 2013-07-15
1336585553 1st Choice Home Health Services Nursing Care 1414 Canadien Geese Ct, Upper Marlboro, MD 20774-7062 2013-05-14
1487946117 Cornerstone Care Nursing Services Agency Nursing Care 11504 Clematis Ct, Upper Marlboro, MD 20774-9307 2011-05-13
1366673394 Sunny Nursing Care Services Nursing Care 11301 Kettering Ter, Upper Marlboro, MD 20774-1567 2009-08-07
1003063074 Vision Healthcare Inc Nursing Care 410 Ashaway Ln, Upper Marlboro, MD 20774-8778 2008-08-21
Find all providers in UPPER MARLBORO

Competitor

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City UPPER MARLBORO
Zip Code 20772

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Dataset Information

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.

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