Organization Active NPI

Supreme S&S Care DKS, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Richmond, VA
National Provider Identifier
1235068933
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SUPREME S&S CARE DKS, LLC
Practice address
2905 Sandy LN
Richmond, VA 23223-2119
Phone
(804) 869-3732
Fax
(804) 486-6620
NPI assigned
May 18, 2026
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SUPREME CARE DKS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Katrina Sabrina SamuelsNPI 1427805241
Title
Owner
Phone
(804) 687-9427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

2905 Sandy LN
Richmond, VA 23223-2119

Mailing address

913 Poplar Cove Way
Richmond, VA 23223-2150
Phone (804) 687-9427

National Provider Directory

National Provider Directory
Part of
Supreme Care DKS LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1235068933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 POPLAR COVE WAY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232232150",
            "telephone_number": "804-687-9427",
            "fax_number": "804-486-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 SANDY LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232232119",
            "telephone_number": "804-869-3732",
            "fax_number": "804-486-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME S&S CARE DKS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUPREME CARE DKS, LLC",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "SABRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-687-9427"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.