Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SUPREME CARE COMMUNITY LIVING SERVICES, INC
NPI 1861392565
Home Health in Hyattsville, MD

Active since November 06, 2026
4738 68TH AVE, HYATTSVILLE, MD 20784(301) 814-1509 Get Directions Write a Review

NPPES record added: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Supreme Care Community Living Services, Inc NPPES

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

SUPREME CARE COMMUNITY LIVING SERVICES, INC (NPI 1861392565) is a healthcare organization registered as a home health in Hyattsville, Maryland and active in the NPI registry since November 2026. The organization lists Korpo Kollie Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861392565
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSUPREME CARE COMMUNITY LIVING SERVICES, INC
Location Address4738 68TH AVEHyattsville, MD 20784-1400
Mailing Address4738 68th AveHyattsville, MD 20784-1400
Organization SubpartNo
Authorized OfficialKorpo Kollie JohnsonCeo · (301) 814-1509
Enumeration DateNovember 6, 2026
NPPES CertifiedNovember 6, 2026
✔ NPI 1861392565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4738 68TH AVE, Hyattsville, MD 20784

Other Providers at the Same Location NPPES 2

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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
4738 68TH AVE
HYATTSVILLE, MD 20784
Home Health
4738 68TH AVE
HYATTSVILLE, MD 20784

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 Care Community Living Services, Inc's NPI number?

The NPI number for Supreme Care Community Living Services, Inc is 1861392565. It was assigned to this organization in the NPPES registry on November 6, 2026.

Where is Supreme Care Community Living Services, Inc located?

Supreme Care Community Living Services, Inc is located at 4738 68th Ave, Hyattsville, MD 20784. The listed phone number is (301) 814-1509.

What is Supreme Care Community Living Services, Inc'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 Care Community Living Services, Inc was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.