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
Fax: (240) 863-3313
Website:
Authorized official contact:
Name: Efuntoye, Ganiyat Funmi

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871864124 NPPES
District of Columbia MEDICAID 057293200

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