Supreme Healthcare Services, Llc
LBN: Supreme Healthcare Services, Llc
Supreme Healthcare Services, Llc is an health care organization with primary practice located at 4611 Clay St Ne , Washington DC 20019-4663. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Custodial Care Facility, which is considered as the primary health care specialty.
Supreme Healthcare Services, Llc can be contacted via phone (240) 357-8763, or through Efuntoye, Ganiyat Funmi via phone (240) 357-8763.
Contact Information
Primary practice address
4611 Clay St Ne
Washington DC 20019-4663
Phone: (240) 357-8763
Fax: (240) 863-3313
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Custodial Care Facility | 311Z00000X |
Profile Details
NPI number | 1871864124 |
---|---|
LBN Legal business name | Supreme Healthcare Services, Llc |
DBA Doing business as | |
Authorized official | Efuntoye, Ganiyat Funmi |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 18th, 2012 |
Last updated | May 11th, 2017 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871864124 | NPPES |
District of Columbia | MEDICAID | 057293200 |
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