Supreme Wellcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPREME WELLCARE LLC

Practice address

161 Gates Mill Dr
Lawrenceville, GA 30045-7190

Phone

(678) 886-9604

NPI assigned

Oct 31, 2025

Organization subpart

No

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

Authorized official

Name

Fidelis Aigbadon

Title

Owner

Phone

(678) 886-9604

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1013886779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 GATES MILL DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457190",
            "telephone_number": "678-886-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 GATES MILL DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457190",
            "telephone_number": "678-886-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME WELLCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "AIGBADON",
        "authorized_official_first_name": "FIDELIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-886-9604"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabitha Sundarmoorthi, CRNA
• Sunshine Grace Private Care LLC
• Sunstone Counseling, LLC
• Superior Home Care Services, LLC
• Supreme Standard Wellness LLC
• Donna Surgenor
• Surgery Center of Lawrenceville
• Surgical Assistants Group of Atlanta LLC
• Dan Suskin, M.D.
• Sahil H Sutaria

• Home Health Agency in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.