Healthcare Provider Details

I. General information

NPI: 1316768500
Provider Name (Legal Business Name): SUPREME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2024
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2924 PARAPET CT
CHESAPEAKE VA
23323-2418
US

IV. Provider business mailing address

1120 SIR GAWAINE DR
CHESAPEAKE VA
23323-2835
US

V. Phone/Fax

Practice location:
  • Phone: 757-292-0926
  • Fax:
Mailing address:
  • Phone: 757-292-0926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JESSICA WHITAKER
Title or Position: OWNER
Credential:
Phone: 757-292-0926