NPIMap

Organization Active NPI

Supreme Health and Rehabilitation Services, LLC

Doing business as Supreme Health Systems, LLC

  • Occupational Therapist
  • Reisterstown, MD
National Provider Identifier
1881408417
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SUPREME HEALTH AND REHABILITATION SERVICES, LLC
Doing business as
Supreme Health Systems, LLC
Practice address
98 Fox Haven CT
Reisterstown, MD 21136-3295
Phone
(410) 940-1983
NPI assigned
Feb 4, 2025
Last updated
May 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Authorized official

Name
Kehinde TijaniNPI 1194206102
Title
Owner
Phone
(410) 940-1983

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

98 Fox Haven CT
Reisterstown, MD 21136-3295

Mailing address

98 Fox Haven CT
Reisterstown, MD 21136-3295
Phone (410) 940-1983

Other names 1

  • Supreme Health Systems, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250610002036 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3971013863 Receives reassigned benefits from 10 practitioners
Practice locations: Reisterstown, MD

National Provider Directory

National Provider Directory
Tax ID family
Supreme Health and Rehabilitation Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747440000000",
    "number": "1881408417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 FOX HAVEN CT",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363295",
            "telephone_number": "410-940-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 FOX HAVEN CT",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363295",
            "telephone_number": "410-940-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME HEALTH AND REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A",
        "authorized_official_last_name": "TIJANI",
        "authorized_official_first_name": "KEHINDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-940-1983"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supreme Health Systems, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.