SUPREME HABILITATIVE SERVICES
NPI 1730759168
Home Health in Tampa, FL

NPI Status: Active since June 28, 2021

Contact Information

100 S ASHLEY DR STE 600
TAMPA, FL
ZIP 33602
Phone: (813) 381-0595

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  • Organization
  • Home Health

About SUPREME HABILITATIVE SERVICES

This page provides the complete NPI Profile along with additional information for Supreme Habilitative Services, a provider established in Tampa, Florida operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1730759168 assigned on June 2021. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 5 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 provider's is doing business as Supreme Habilitative Services. The authorized official of this NPI record is Mrs. Rackaye J Simmons (Ceo)

NPI
1730759168
Provider Legal Name
SUPREME HABILITATIVE SERVICES LLC
Other Organization Name
SUPREME HABILITATIVE SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 S ASHLEY DR STE 600 TAMPA, FL 33602
Location Phone
(813) 381-0595
Mailing Address
100 S ASHLEY DR STE 600 TAMPA, FL 33602
Mailing Phone
(866) 751-8330
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2021
Last Update Date
11-27-2021
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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

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
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.

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)
1106S00000XBehavioral Health & Social Service Providers

Behavior Technician

 
2253Z00000XAgencies

In Home Supportive Care

 
33104A0630XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Behavioral Disturbances

 
4320900000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

 
5374U00000XNursing Service Related Providers

Home Health Aide

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. RACKAYE J SIMMONS

Authorized Official Title
CEO
Authorized Official Phone
(866) 751-8330

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01MEDICAID (05)FL 

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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 1730759168, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 3 → 6 7 → 14 → 5 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 1 + 4 + 5 + 1 + 8 + 1 + 1 + 2 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1730759168.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

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
Psychologist (Clinical)
100 S ASHLEY DR STE 600
TAMPA, FL 33602
Adult Companion
100 S ASHLEY DR STE 600
TAMPA, FL 33602
Nurse Practitioner (Psychiatric/Mental Health)
100 S ASHLEY DR STE 600
TAMPA, FL 33602
Nurse Practitioner (Family)
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
Clinic/Center (Community Health)
100 S ASHLEY DR STE 600
TAMPA, FL 33602
Transportation Network Company
100 S ASHLEY DR STE 600
TAMPA, FL 33602
Case Management
100 S ASHLEY DR STE 600
TAMPA, FL 33602
Counselor
100 S ASHLEY DR STE 600
TAMPA, FL 33602
Nurse Practitioner (Psychiatric/Mental Health)
100 S ASHLEY DR STE 600
TAMPA, FL 33602
Nurse Practitioner (Psychiatric/Mental Health)
100 S ASHLEY DR STE 600
TAMPA, FL 33602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730759168, enumerated as an "organization" on June 28, 2021.

The provider is located at 100 S ASHLEY DR STE 600 TAMPA, FL 33602 and the phone number is (813) 381-0595.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.