NPIMap

Organization Active NPI

Supreme Nursing Agency

  • Home Health Agency
  • Hyattsville, MD
National Provider Identifier
1356763270
Registry record updated Jan 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA9902 Issued in DC
Legal business name
SUPREME NURSING AGENCY
Practice address
631 Sheridan St Apt 32
Hyattsville, MD 20783-3225
Phone
(301) 768-0636
NPI assigned
Jan 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2014

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

Authorized official

Name
Ms. Jessica Bempah Anaman, NURSE
Title
HHA
Phone
(301) 768-0636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA9902 DC Primary

Addresses

Primary practice location

631 Sheridan St Apt 32
Hyattsville, MD 20783-3225

Mailing address

631 Sheridan St Apt 32
Hyattsville, MD 20783-3225
Phone (301) 768-0636

Other names 1

  • N/A Doing business as

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": "1389484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389484800000",
    "number": "1356763270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 SHERIDAN ST APT 32",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833225",
            "telephone_number": "301-768-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 SHERIDAN ST APT 32",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833225",
            "telephone_number": "301-768-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME NURSING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-12",
        "last_updated": "2014-01-12",
        "status": "A",
        "authorized_official_last_name": "ANAMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "BEMPAH",
        "authorized_official_title_or_position": "HHA",
        "authorized_official_telephone_number": "301-768-0636",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "HHA9902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.