SUPREME CARE DKS, LLC
NPI 1073322459
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Richmond, VA

Active since December 31, 2024
3903 GENACRE LN, RICHMOND, VA 23222(804) 687-9427(804) 486-6620 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supreme Care Dks, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPREME CARE DKS, LLC (NPI 1073322459) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Richmond, Virginia and active in the NPI registry since December 2024. The organization lists Katrina S Samuels, Owner, as its authorized official.

NPPES Registry Identity

NPI1073322459
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSUPREME CARE DKS, LLC
Location Address3903 GENACRE LNRichmond, VA 23222-1731
Mailing Address3903 Genacre LnRichmond, VA 23222-1731 · (804) 687-9427
Fax(804) 486-6620
Organization SubpartNo
Authorized OfficialKatrina S SamuelsOwner · (804) 687-9427
Enumeration DateDecember 31, 2024
NPPES CertifiedDecember 31, 2024
NPI 1073322459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3903 GENACRE LN, Richmond, VA 23222

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3903 GENACRE LN
RICHMOND, VA 23222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supreme Care Dks, LLC's NPI number?

The NPI number for Supreme Care Dks, LLC is 1073322459. It was assigned to this organization in the NPPES registry on December 31, 2024.

Where is Supreme Care Dks, LLC located?

Supreme Care Dks, LLC is located at 3903 Genacre Ln, Richmond, VA 23222. The listed phone number is (804) 687-9427.

What is Supreme Care Dks, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Supreme Care Dks, LLC was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.