MEDICARE: SUPREME NURSING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1508713652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPREME NURSING SERVICES

Provider Business Mailing Address
First Line	:	502 SOUTHRIDGE RD
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-6487
Country	:	US
Telephone Number	:	407-929-7247
Fax Number	:

Provider Business Practice Location Address
First Line	:	502 SOUTHRIDGE RD
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-6487
Country	:	US
Telephone Number	:	407-929-7247
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. AMOY KAREAN YOUNG
Credential	:
Telephone Number	:	407-929-7247

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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