OrganizationActive
Supreme Wellcare LLC
NPI 1013886779 · Home Health Agency · Lawrenceville, GA
Supreme Wellcare LLC is a Home Health Agency organization in Lawrenceville, GA (NPI 1013886779).
Provider details
- NPI number
- 1013886779
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Fidelis Aigbadon, Owner(678) 886-9604
Specialties & taxonomies
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
161 Gates Mill Dr
Lawrenceville, GA 30045-7190
Phone: (678) 886-9604
Street-level locationGet directions
Mailing address
161 Gates Mill Dr
Lawrenceville, GA 30045-7190
Registry dates
- Enumerated
- 2025-10-31
- Last updated
- 2025-10-31
- Certified
- 2025-10-31
Frequently asked questions
- What is Supreme Wellcare LLC's NPI number?
- Supreme Wellcare LLC's National Provider Identifier (NPI) is 1013886779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Wellcare LLC?
- Supreme Wellcare LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Supreme Wellcare LLC located?
- Supreme Wellcare LLC's practice location on file with NPPES is 161 Gates Mill Dr, Lawrenceville, GA 30045-7190.
- What is Supreme Wellcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Supreme Wellcare LLC is (678) 886-9604.
- Who is the authorized official for Supreme Wellcare LLC?
- The authorized official listed on Supreme Wellcare LLC's NPPES record is Fidelis Aigbadon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Wellcare LLC's NPI active?
- Yes — Supreme Wellcare LLC's NPI (1013886779) is active in the NPPES registry as of the last update on 2025-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.