Supreme Care Servicesllc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUPREME CARE SERVICESLLC

Practice address

4738 68TH Ave
Hyattsville, MD 20784-1400

Phone

(301) 814-1509

NPI assigned

Jun 8, 2026

Last updated

Jun 8, 2026By 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

Korpo Kollie Johnson

Title

Owner

Phone

(301) 814-1509

Specialties & licenses 1

Addresses

Tax ID family

Supreme Care Servicesllc2 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 Care Servicesllc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Hyattsville, MD
  • NPI 1104792183
  NPD tax ID

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1427982396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4738 68TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207841400",
            "telephone_number": "301-814-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4738 68TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207841400",
            "telephone_number": "301-814-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME CARE SERVICESLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KORPO",
        "authorized_official_middle_name": "KOLLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-814-1509"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudin Siri Suh
• Emmanuel Ngwa Suh
• Fanny Violet Lum Suh
• Melanie Sumpter
• Supreme Care Servicesllc
• Supreme Nursing Agency (N/a)
• Marie Surasky, DDS
• Survivor Sources Inc
• Deepa Suryanarayanan, DMD
• Achuo Agbor Susan

• Home Health Agency in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.