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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NPI Details

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		No
2	251F00000X	Home Infusion		No
3	251G00000X	Hospice Care, Community Based		No
4	251J00000X	Nursing Care		No
5	310400000X	Assisted Living Facility		No
6	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
7	311Z00000X	Custodial Care Facility		No
8	311ZA0620X	Custodial Care Facility	Adult Care Home	No
9	314000000X	Skilled Nursing Facility		No
10	3140N1450X	Skilled Nursing Facility	Nursing Care, Pediatric	No
11	315P00000X	Intermediate Care Facility, Intellectual Disabilities		No
12	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	No
13	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No
14	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	No
15	251E00000X	Home Health		Yes

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: 11/21/2025

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