Supreme Healthcare Services, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

R3590P Issued in MD

Legal business name

SUPREME HEALTHCARE SERVICES, LLC

Practice address

7608 Georgian Dr
Upper Marlboro, MD 20772-4496

Phone

(240) 449-9174

NPI assigned

Jun 19, 2014

Organization subpart

No

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

Authorized official

Name

Resikat Afolake Afolabi, RN

Title

Director of Nursing

Phone

(240) 449-9174

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Risikat A Afolabi-Zannu

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
  • NPI 1336805084
  NPD (past)

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1235543034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7608 GEORGIAN DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724496",
            "telephone_number": "240-449-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7608 GEORGIAN DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724496",
            "telephone_number": "240-449-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "AFOLABI",
        "authorized_official_first_name": "RESIKAT",
        "authorized_official_middle_name": "AFOLAKE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "240-449-9174",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "R3590P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL SERVICE AGENCY",
            "identifier": "R3590P",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Nursing Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.