Supreme Home Care Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R2408P Issued in MD

Legal business name

SUPREME HOME CARE SERVICES INC.

Practice address

3312 Midland CT
Abingdon, MD 21009-2504

Phone

(443) 512-8365

NPI assigned

May 19, 2006

Last updated

Aug 22, 2020By 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

Keziah Kihu

Title

Administrator

Phone

(443) 512-8365

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841244472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 MIDLAND CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 MIDLAND CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092504",
            "telephone_number": "443-512-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HOME CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIHU",
        "authorized_official_first_name": "KEZIAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "443-512-8365"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2408P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Ann Stanley, OTR/L
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• Renee P Stokes, LCSW-C, CPRP
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• Mary Grace Tanguilan, M.D.
• Sara Taylor, LMSW
• Clare Thacker
• The Care Group at Safe Harbor

• Home Health Agency in Abingdon, MD
• Providers in Abingdon, 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 Aug 22, 2020; 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.