Supreme Care Servicesllc
NPI 1104792183 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hyattsville, MD
Supreme Care Servicesllc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Hyattsville, MD (NPI 1104792183).
Provider details
- NPI number
- 1104792183
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Korpo Johnson, President(301) 814-1509
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2025-10-15
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Frequently asked questions
- What is Supreme Care Servicesllc's NPI number?
- Supreme Care Servicesllc's National Provider Identifier (NPI) is 1104792183, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Care Servicesllc?
- Supreme Care Servicesllc is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Supreme Care Servicesllc located?
- Supreme Care Servicesllc's practice location on file with NPPES is 4738 68th Ave, Hyattsville, MD 20784-1400.
- What is Supreme Care Servicesllc's phone number?
- The practice phone number listed in the NPPES registry for Supreme Care Servicesllc is (301) 814-1509.
- Who is the authorized official for Supreme Care Servicesllc?
- The authorized official listed on Supreme Care Servicesllc's NPPES record is Korpo Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Care Servicesllc's NPI active?
- Yes — Supreme Care Servicesllc's NPI (1104792183) is active in the NPPES registry as of the last update on 2025-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.