Supreme Companions, in-Home Care & Support Services,LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

R2526 Issued in MD

Legal business name

SUPREME COMPANIONS, IN-HOME CARE & SUPPORT SERVICES,LLC

Practice address

201 Milford Mill Rd Ste 101a
Pikesville, MD 21208-5902

Phone

(410) 415-6181

NPI assigned

Sep 5, 2007

Organization subpart

No

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

Authorized official

Name

Anehru B Hamadu Sr., MBA . ACCTG

Title

Administrator

Phone

(410) 415-6181

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1831383538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MILFORD MILL RD STE 101A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085902",
            "telephone_number": "410-415-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MILFORD MILL RD STE 101A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085902",
            "telephone_number": "410-415-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME COMPANIONS, IN-HOME CARE & SUPPORT SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "HAMADU",
        "authorized_official_first_name": "ANEHRU",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-415-6181",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MBA . ACCTG"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "R2526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.