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SUPREME NURSING CARE AND SUPPORTED LIVING LLC
NPI 1982175154
Home Health in Cherry Hill, NJ

Active since December 16, 2018
1401 MARLTON PIKE E STE 22A, CHERRY HILL, NJ 08034(614) 929-1931 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2025, Nov 18, 2024, Apr 26, 2021 and 2 more (5 updates tracked since 2018).

About Supreme Nursing Care And Supported Living Llc NPPES

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

SUPREME NURSING CARE AND SUPPORTED LIVING LLC (NPI 1982175154) is a healthcare organization registered as a home health in Cherry Hill, New Jersey and active in the NPI registry since December 2018. The organization maintains a secondary practice location in Allentown and lists Mohamed Baba Fofanah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1982175154
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSUPREME NURSING CARE AND SUPPORTED LIVING LLC
Location Address1401 MARLTON PIKE E STE 22ACherry Hill, NJ 08034-2207
Mailing Address1101 W Hamilton St Ste 141Allentown, PA 18101-1043 · (614) 929-1931
Phone(614) 929-1931
Organization SubpartNo
Authorized OfficialMohamed Baba FofanahCeo · (614) 929-1931
Enumeration DateDecember 16, 2018
Last NPPES UpdateFebruary 5, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1982175154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
1401 MARLTON PIKE E STE 22A, Cherry Hill, NJ 08034
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Secondary Practice Location 1

Location 11101 W Hamilton St Ste 141Allentown, PA 18101-1043 · Phone (614) 929-1931

Other Identifiers 1

Medicaid1035115810001PA

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 Nursing Care And Supported Living LLC's NPI number?

The NPI number for Supreme Nursing Care And Supported Living LLC is 1982175154. It was assigned to this organization in the NPPES registry on December 16, 2018.

Where is Supreme Nursing Care And Supported Living LLC located?

Supreme Nursing Care And Supported Living LLC is located at 1401 Marlton Pike E Ste 22A, Cherry Hill, NJ 08034. The listed phone number is (614) 929-1931.

What is Supreme Nursing Care And Supported Living 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 Nursing Care And Supported Living LLC was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.