SUPREME HEALTHCARE & WELLNESS SERVICES LLC
NPI 1184304610
Clinic/Center - Primary Care in Germantown, MD
About Supreme Healthcare & Wellness Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUPREME HEALTHCARE & WELLNESS SERVICES LLC (NPI 1184304610) is a healthcare organization registered as a primary care in Germantown, Maryland and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Judith Besem Akoh-arrey, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D2280721
Supreme Healthcare & Wellness Services LLC · Germantown, MDOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GERMANTOWN, MD 20874
GERMANTOWN, MD 20874
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 Healthcare & Wellness Services LLC's NPI number?
The NPI number for Supreme Healthcare & Wellness Services LLC is 1184304610. It was assigned to this organization in the NPPES registry on July 19, 2023.
Where is Supreme Healthcare & Wellness Services LLC located?
Supreme Healthcare & Wellness Services LLC is located at 12401 Middlebrook Rd Ste 190, Germantown, MD 20874. The listed phone number is (240) 432-6971.
What is Supreme Healthcare & Wellness Services LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Supreme Healthcare & Wellness Services LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2280721) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Supreme Healthcare & Wellness Services LLC was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Supreme Healthcare & Wellness Services Llc · NPI 1184304610
Primary Care organization in Germantown, Maryland. Organization record, active in the CMS NPPES registry since July 19, 2023.
## Identity
- **NPI:** 1184304610 (Entity type: Organization)
- **Enumerated:** July 19, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Judith Akoh-Arrey, PROVIDER
## Practice location
- **Address:** 12401 MIDDLEBROOK RD STE 190, Germantown, MD 20874-1521
- **Phone:** (240) 432-6971
## Record status
- **NPPES last updated:** July 19, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184304610) · Data from the CMS NPPES public registry.