SUPREME HABILITATIVE SERVICES
NPI 1730759168
Home Health in Tampa, FL

Q: What is Supreme Habilitative Services LLC's NPI number?

The NPI number for Supreme Habilitative Services LLC is 1730759168. It was assigned to this organization in the NPPES registry on June 28, 2021. The provider is doing business as Supreme Habilitative Services.

Q: What is Supreme Habilitative Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since June 28, 2021

100 S ASHLEY DR STE 600, TAMPA, FL 33602(813) 381-0595 Get Directions Write a Review

NPPES record last updated: November 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 27, 2021, Jun 28, 2021 (2 updates tracked since 2021).

On this page

About Supreme Habilitative Services NPPES

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

SUPREME HABILITATIVE SERVICES (NPI 1730759168) is a healthcare organization registered as a home health in Tampa, Florida and active in the NPI registry since June 2021. The organization lists Rackaye J Simmons, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730759168

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameSUPREME HABILITATIVE SERVICES LLC

Location Address100 S ASHLEY DR STE 600Tampa, FL 33602-5300

Mailing Address100 S Ashley Dr Ste 600Tampa, FL 33602-5300 · (866) 751-8330 · Fax (813) 922-0553

Phone(813) 381-0595

Organization SubpartNo

Authorized OfficialRackaye J SimmonsCeo · (866) 751-8330

Enumeration DateJune 28, 2021

Last NPPES UpdateNovember 27, 20212 updates tracked since enumeration

NPPES CertifiedNovember 27, 2021

✔ NPI 1730759168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Also ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X

Also ListedHome Health AideTaxonomy 374U00000X

100 S ASHLEY DR STE 600, Tampa, FL 33602

Open in Google Maps ↗

Other Names 1

Doing Business AsSupreme Habilitative Services

Other Identifiers 1

Medicaid01FL

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PSI WELLNESS INC.

Counselor (Mental Health)