SUPREME HABILITATIVE SERVICES
NPI 1730759168
Home Health in Tampa, FL

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: July 26, 2026.

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

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
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 ListedHome Health AideTaxonomy 374U00000X
100 S ASHLEY DR STE 600, Tampa, FL 33602

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.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
100 S ASHLEY DR STE 600
TAMPA, FL 33602
Podiatrist
100 S ASHLEY DR STE 600
TAMPA, FL 33602
Dentist
100 S ASHLEY DR STE 600
TAMPA, FL 33602
Behavior Analyst
100 S ASHLEY DR STE 600
TAMPA, FL 33602
Social Worker (Clinical)
100 S ASHLEY DR STE 600
TAMPA, FL 33602
Hospice Care, Community Based
100 S ASHLEY DR STE 600
TAMPA, FL 33602
Behavior Analyst
100 S ASHLEY DR STE 600
TAMPA, FL 33602
Internal Medicine
100 S ASHLEY DR STE 600
TAMPA, FL 33602

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 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.

Where is Supreme Habilitative Services LLC located?

Supreme Habilitative Services LLC is located at 100 S Ashley Dr Ste 600, Tampa, FL 33602. The listed phone number is (813) 381-0595.

What is Supreme Habilitative Services LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Supreme Habilitative Services LLC was last updated on November 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.