Supreme Care Servicesllc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

SUPREME CARE SERVICESLLC

Practice address

4738 68TH Ave
Hyattsville, MD 20784-1400

Phone

(301) 814-1509

Fax

(301) 814-1509

NPI assigned

Oct 15, 2025

Organization subpart

No

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

Authorized official

Name

Korpo Kollie Johnson, NURSE

Title

President

Phone

(301) 814-1509

Specialties & licenses 1

Addresses

Tax ID family

Supreme Care Servicesllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Supreme Care Servicesllc

  • Home Health Agency
  • Hyattsville, MD
  • NPI 1427982396
  NPD tax ID

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1104792183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4738 68TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207841400",
            "telephone_number": "301-814-1509",
            "fax_number": "301-814-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4738 68TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207841400",
            "telephone_number": "301-814-1509",
            "fax_number": "301-814-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME CARE SERVICESLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KORPO",
        "authorized_official_middle_name": "KOLLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-814-1509",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bronhilda Sirri Suh
• Claudin Siri Suh
• Emmanuel Ngwa Suh
• Fanny Violet Lum Suh
• Melanie Sumpter
• Supreme Care Servicesllc
• Supreme Nursing Agency
• Marie Surasky, DDS
• Survivor Sources Inc
• Deepa Suryanarayanan, DMD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.