Organization Active NPI

Supreme Helpers Healthcare Corporation

  • Respite Care
  • Williamsburg, VA
National Provider Identifier
1073862231
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
SUPREME HELPERS HEALTHCARE CORPORATION
Practice address
1761 Jamestown Road
Suite 103
Williamsburg, VA 23185-0000
Phone
(757) 220-2190
Fax
(757) 220-2191
NPI assigned
Sep 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Mr. John O Madojemu, MIS, MS, PHD (C)
Title
President/Ceo
Phone
(757) 220-2190

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Respite Care 385H00000X Primary

Addresses

Primary practice location

1761 Jamestown Road
Suite 103
Williamsburg, VA 23185-0000

Mailing address

1761 Jamestown Rd
Suite 103
Williamsburg, VA 23185-2336
Phone (757) 220-2190

National Provider Directory

National Provider Directory

Locations

1761 Jamestown Rd
Ste 103
Williamsburg, VA 23185
Phone (757) 220-2190

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1073862231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 JAMESTOWN RD",
            "address_2": "SUITE 103",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852336",
            "telephone_number": "757-220-2190",
            "fax_number": "757-220-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 JAMESTOWN ROAD",
            "address_2": "SUITE 103",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231850000",
            "telephone_number": "757-220-2190",
            "fax_number": "757-220-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HELPERS HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "MADOJEMU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "757-220-2190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MIS, MS, PHD (C)"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.