SUPREME HEALTHCARE & WELLNESS SERVICES LLC
NPI 1215670047
Clinic/Center - Mental Health (Including Community Mental Health Center) in Germantown, MD
NPI Status: Active since April 19, 2022
Contact Information
12401 MIDDLEBROOK RD STE 190
GERMANTOWN, MD
ZIP 20874
Phone: (240) 476-2106
Fax: (877) 775-1766
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 21D2280721
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 04-24-2027
About SUPREME HEALTHCARE & WELLNESS SERVICES LLC
This page provides the complete NPI Profile along with additional information for Supreme Healthcare & Wellness Services Llc, a provider established in Germantown, Maryland operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1215670047 assigned on April 2022. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Judith Akoh-arrey Np (Provider)
- NPI
- 1215670047
- Provider Name
- SUPREME HEALTHCARE & WELLNESS SERVICES LLC
- Entity Type
- Organization
- Location Address
- 12401 MIDDLEBROOK RD STE 190 GERMANTOWN, MD 20874
- Location Phone
- (240) 476-2106
- Location Fax
- (877) 775-1766
- Mailing Address
- 12401 MIDDLEBROOK RD STE 190 GERMANTOWN, MD 20874
- Mailing Phone
- (855) 208-0890
- Mailing Fax
- (877) 775-1766
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-19-2022
- Last Update Date
- 08-29-2022
- Code Navigator
Location Map
Secondary Locations
- 10810 BARNESTOWN RD STE 202
GAITHERSBURG, MD 20878
(240) 432-6971
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
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2280721
- Facility Type
- Practitioner Other
- Certificate Effective Date
- April 25, 2025
- Certificate Expiration Date
- April 24, 2027
- Laboratory Director
- JUDITH B. AKOH-ARREY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Supreme Healthcare & Wellness Services Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1215670047, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
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 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
GERMANTOWN, MD 20874
GERMANTOWN, MD 20874
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215670047, enumerated as an "organization" on April 19, 2022.
The provider is located at 12401 MIDDLEBROOK RD STE 190 GERMANTOWN, MD 20874 and the phone number is (240) 476-2106.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
