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SUPREME HEALTH CARE SERVICES NPI 1386838571


NPI Information

NPI: 1386838571
Provider Name: SUPREME HEALTH CARE SERVICES
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
3300 TYRE NECK ROAD
SUITE F
PORTSMOUTH, VA
ZIP 23703
Phone: (757) 393-0327
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SUPREME HEALTH CARE SERVICES is a home health in Portsmouth, VA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. SUPREME HEALTH CARE SERVICES NPI is 1386838571. The provider is registered as an organization entity type.

The provider's business location address is:

3300 TYRE NECK ROAD
SUITE F
PORTSMOUTH, VA
ZIP 23703-319
Phone: (757) 393-0327
Fax: (757) 393-0328

The provider's authorized official is John Omonkhuale Madojemu .
The authorized official title is Program Director and has the following contact phone number (757) 393-0327.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 8/3/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesNo
2251F00000XHome InfusionNo
3251G00000XHospice Care, Community BasedNo
4251J00000XNursing CareNo
5310400000XAssisted Living FacilityNo
63104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
7311Z00000XCustodial Care FacilityNo
8311ZA0620XCustodial Care FacilityAdult Care HomeNo
9314000000XSkilled Nursing FacilityNo
103140N1450XSkilled Nursing FacilityNursing Care, PediatricNo
11315P00000XIntermediate Care Facility, Mentally RetardedNo
12385HR2055XRespite CareRespite Care, Mental Illness, ChildNo
13385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
14385HR2065XRespite CareRespite Care, Physical Disabilities, ChildNo
15251E00000XHome HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.