SUPREME HEALTHCARE AGENCY LLC
NPI 1639661317
Day Training, Developmentally Disabled Services in Willoughby, OH

Q: What is Supreme Healthcare Agency LLC's NPI number?

The NPI number for Supreme Healthcare Agency LLC is 1639661317. It was assigned to this organization in the NPPES registry on May 30, 2018.

Q: What is Supreme Healthcare Agency LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Active since May 30, 2018

38335 TAMARAC BLVD APT 220, WILLOUGHBY, OH 44094(440) 521-2276 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Supreme Healthcare Agency Llc NPPES

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

SUPREME HEALTHCARE AGENCY LLC (NPI 1639661317) is a healthcare organization registered as a day training, developmentally disabled services in Willoughby, Ohio and active in the NPI registry since May 2018. The organization lists Tina M Campbell-rasberry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639661317

Entity TypeOrganization

Primary Taxonomy251C00000X

Legal Business NameSUPREME HEALTHCARE AGENCY LLC

Location Address38335 TAMARAC BLVD APT 220Willoughby, OH 44094-8195

Mailing Address38335 Tamarac Blvd Apt 220Willoughby, OH 44094-8195 · (440) 521-2276

Phone(440) 521-2276

Organization SubpartNo

Authorized OfficialTina M Campbell-rasberryCeo · (440) 521-2276

Enumeration DateMay 30, 2018

✔ NPI 1639661317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

38335 TAMARAC BLVD APT 220, Willoughby, OH 44094

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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 Agency LLC's NPI number?

The NPI number for Supreme Healthcare Agency LLC is 1639661317. It was assigned to this organization in the NPPES registry on May 30, 2018.

Where is Supreme Healthcare Agency LLC located?

Supreme Healthcare Agency LLC is located at 38335 Tamarac Blvd Apt 220, Willoughby, OH 44094. The listed phone number is (440) 521-2276.

What is Supreme Healthcare Agency LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Supreme Healthcare Agency LLC was last updated on May 30, 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.