SUPREME CARE SERVICESLLC
NPI 1104792183
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hyattsville, MD
NPI Status: Active since October 15, 2025
Contact Information
4738 68TH AVE
HYATTSVILLE, MD
ZIP 20784
Phone: (301) 814-1509
Fax: (301) 814-1509
- Organization
- Residential Treatment Facility, Intellec...
About SUPREME CARE SERVICESLLC
This page provides the complete NPI Profile along with additional information for Supreme Care Servicesllc, a provider established in Hyattsville, Maryland operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1104792183 assigned on October 2025. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated December 2025. The authorized official of this NPI record is Korpo Kollie Johnson Nurse (President)
- NPI
- 1104792183
- Provider Name
- SUPREME CARE SERVICESLLC
- Entity Type
- Organization
- Location Address
- 4738 68TH AVE HYATTSVILLE, MD 20784
- Location Phone
- (301) 814-1509
- Location Fax
- (301) 814-1509
- Mailing Address
- 4738 68TH AVE HYATTSVILLE, MD 20784
- Mailing Phone
- (301) 814-1509
- Mailing Fax
- (301) 814-1509
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-15-2025
- Last Update Date
- 12-08-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104792183, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104792183, enumerated as an "organization" on October 15, 2025.
The provider is located at 4738 68TH AVE HYATTSVILLE, MD 20784 and the phone number is (301) 814-1509.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
