Organization Active NPI

Nova Supreme Services LLC

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1326995663
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NOVA SUPREME SERVICES LLC
Practice address
11767 Carson Lake Dr W
Jacksonville, FL 32221-3812
Phone
(904) 235-0622
NPI assigned
Mar 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Ronisha AlbertieNPI 1295695591
Title
Owner
Phone
(904) 235-0622

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11767 Carson Lake Dr W
Jacksonville, FL 32221-3812

Mailing address

11767 Carson Lake Dr W
Jacksonville, FL 32221-3812

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1326995663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11767 CARSON LAKE DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322213812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11767 CARSON LAKE DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322213812",
            "telephone_number": "904-235-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA SUPREME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "ALBERTIE",
        "authorized_official_first_name": "RONISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-235-0622"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.