Supreme Healthcare & Wellness Services LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SUPREME HEALTHCARE & WELLNESS SERVICES LLC

Practice address

12401 Middlebrook Rd Ste 190
Germantown, MD 20874-1521

Phone

(240) 432-6971

NPI assigned

Jul 19, 2023

Last updated

Jul 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judith Besem Akoh-ArreyNPI 1699336651

Title

Provider

Phone

(855) 208-0890

Specialties & licenses 1

Addresses

Tax ID family

Supreme Healthcare Wellness Services LLC2 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 Healthcare & Wellness Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Germantown, MD
  • NPI 1215670047
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judith Besem Akoh-Arrey, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Germantown, MD
  • NPI 1699336651
  NPD Authorized official

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1184304610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 MIDDLEBROOK RD STE 190",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741521",
            "telephone_number": "240-432-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 MIDDLEBROOK RD STE 190",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741521",
            "telephone_number": "240-432-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HEALTHCARE & WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "AKOH-ARREY",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "BESEM",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "855-208-0890"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Brachytherapy LLC
• Melody Sun
• Sunbeam Inc
• Sunflower Therapeutic and Consulting Services, LLC
• Sunshinehomecare LLC
• Supreme Healthcare & Wellness Services LLC
• Surgical Anesthesia of Bossier LLC
• Surgical Solutions Services LLC
• Svetlana Malinsky, DPM PC
• Elizabeth M Swank, ATC

• Primary Care Clinic/Center in Germantown, MD
• Providers in Germantown, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.