Organization Active NPI

Supreme LLC

  • Home Health Agency
  • Washington, DC
National Provider Identifier
1003182155
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPREME LLC
Practice address
2849 Georgia Ave NW
Suite 2
Washington, DC 20001-5600
Phone
(202) 525-2175
Fax
(202) 525-2177
NPI assigned
Mar 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Agnes Masawe
Title
President
Phone
(202) 255-2574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2849 Georgia Ave NW
Suite 2
Washington, DC 20001-5600

Mailing address

2849 Georgia Ave NW
Suite 2
Washington, DC 20001-5600
Phone (202) 525-2175

National Provider Directory

National Provider Directory

Locations

2849 Georgia Ave NW
Ste 2
Washington, DC 20001
Phone (202) 525-2175

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1003182155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 GEORGIA AVE NW",
            "address_2": "SUITE 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200015600",
            "telephone_number": "202-525-2175",
            "fax_number": "202-525-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2849 GEORGIA AVE NW",
            "address_2": "SUITE 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200015600",
            "telephone_number": "202-525-2175",
            "fax_number": "202-525-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "MASAWE",
        "authorized_official_first_name": "AGNES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-255-2574"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.