SUPREME COMPREHENSIVE HEALTH SERVICES, LLC
NPI 1760371405
Nurse Practitioner - Psychiatric/Mental Health in Lakeland, FL
About Supreme Comprehensive Health Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUPREME COMPREHENSIVE HEALTH SERVICES, LLC (NPI 1760371405) is a healthcare organization registered as a psychiatric/mental health in Lakeland, Florida and active in the NPI registry since June 2025. The organization lists Eva Ugonna Okereke-enechukwu, Fnp-bc/pmhnp-bc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Supreme Comprehensive Health Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Supreme Comprehensive Health Services, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Comprehensive Health Services, LLC's NPI number?
The NPI number for Supreme Comprehensive Health Services, LLC is 1760371405. It was assigned to this organization in the NPPES registry on June 30, 2025.
Where is Supreme Comprehensive Health Services, LLC located?
Supreme Comprehensive Health Services, LLC is located at 2404 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (443) 980-2011.
What is Supreme Comprehensive Health Services, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Supreme Comprehensive Health Services, LLC enrolled in Medicare?
Yes. Supreme Comprehensive Health Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Supreme Comprehensive Health Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Supreme Comprehensive Health Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Supreme Comprehensive Health Services, LLC was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Supreme Comprehensive Health Services, Llc · NPI 1760371405
Psychiatric/Mental Health organization in Lakeland, Florida. Organization record, active in the CMS NPPES registry since June 30, 2025.
## Identity
- **NPI:** 1760371405 (Entity type: Organization)
- **Enumerated:** June 30, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Supreme Comprehensive Health Services, LLC (Other Name)
- **Organization subpart:** No
- **Authorized official:** Eva Okereke-Enechukwu, FNP-BC/PMHNP-BC
## Practice location
- **Address:** 2404 LAKELAND HILLS BLVD, Lakeland, FL 33805-2214
- **Phone:** (443) 980-2011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760371405) · Data from the CMS NPPES public registry.