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SUPREME CARE
NPI 1205331915
Home Health Aide in College Park, MD

Active since March 26, 2018
4920 NIAGARA RD STE 406, COLLEGE PARK, MD 20740(614) 929-1931 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Supreme Care NPPES

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

SUPREME CARE (NPI 1205331915) is a healthcare organization registered as a home health aide in College Park, Maryland and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Allentown and lists Mohamed Baba Fofanah, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1205331915
Entity TypeOrganization
Primary Taxonomy374U00000X
Legal Business NameSUPREME CARE
Location Address4920 NIAGARA RD STE 406College Park, MD 20740-1166
Mailing Address449 Willow St Apt JAllentown, PA 18102-5765 · (614) 929-1931
Phone(614) 929-1931
Organization SubpartNo
Authorized OfficialMohamed Baba FofanahOwner/director · (614) 929-1931
Enumeration DateMarch 26, 2018
✔ NPI 1205331915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
4920 NIAGARA RD STE 406, College Park, MD 20740
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Secondary Practice Location 1

Location 1449 Willow St Apt JAllentown, PA 18102-5765 · Phone (614) 929-1931

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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's NPI number?

The NPI number for Supreme Care is 1205331915. It was assigned to this organization in the NPPES registry on March 26, 2018.

Where is Supreme Care located?

Supreme Care is located at 4920 Niagara Rd Ste 406, College Park, MD 20740. The listed phone number is (614) 929-1931.

What is Supreme Care's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Supreme Care was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.