NPIMap

Organization Active NPI

Supreme Nursing Personnel LLC

  • In Home Supportive Care Agency
  • Essex, MD
National Provider Identifier
1508752056
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUPREME NURSING PERSONNEL LLC
Practice address
417C Eastern Blvd
Essex, MD 21221-6715
Phone
(410) 831-7869
NPI assigned
Jun 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Jada Watson, RNNPI 1588379663
Title
President
Phone
(443) 414-2988

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

417C Eastern Blvd
Essex, MD 21221-6715

Mailing address

417C Eastern Blvd
Essex, MD 21221-6715
Phone (410) 831-7869

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": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1508752056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417C EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212216715",
            "telephone_number": "410-831-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417C EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212216715",
            "telephone_number": "410-831-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME NURSING PERSONNEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JADA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-414-2988",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.