Supreme Health Care Services

LBN: Supreme Health Care Services
Supreme Health Care Services is an health care organization with primary practice located at 3300 Tyre Neck Road Suite F, Portsmouth VA 23703-3319. The organization recently has 15 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Home Infusion, Agencies / Hospice Care, Community Based, Agencies / Nursing Care, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Adult Care Home, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Nursing & Custodial Care Facilities / Nursing Care, Pediatric, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Respite Care Facility / Respite Care, Mental Illness, Child, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Physical Disabilities, Child. Agencies / Home Health is the primary health care specialty. Supreme Health Care Services can be contacted via phone (757) 393-0327, or through Madojemu, John Omonkhuale via phone (757) 393-0327.

Contact Information

Primary practice address
3300 Tyre Neck Road Suite F Portsmouth VA 23703-3319
Phone: (757) 393-0327
Fax: (757) 393-0328
Website:
Map and Directions
Authorized official contact:
Name: Madojemu, John Omonkhuale MSM, PHD (C)
Phone: (757) 393-0327

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Agencies / Home Infusion 251F00000X
Agencies / Hospice Care, Community Based 251G00000X
Agencies / Nursing Care 251J00000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Nursing & Custodial Care Facilities / Nursing Care, Pediatric 3140N1450X
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X

Profile Details

NPI number 1386838571
LBN Legal business name Supreme Health Care Services
DBA Doing business as
Authorized official Madojemu, John Omonkhuale MSM, PHD (C)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2007
Last updated Aug 3rd, 2012 - about 12 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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