OrganizationActive
Supreme Healthcare Services, LLC
NPI 1871864124 · Custodial Care Facility · Washington, DC
Provider details
- NPI number
- 1871864124
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ganiyat Efuntoye, President/Ceo(240) 357-8763
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4611 Clay St Ne
Washington, DC 20019-4663
Phone: (240) 357-8763
Fax: (240) 863-3313
Approximate (ZIP-level) locationGet directions
Mailing address
6475 New Hampshire Ave
Hyattsville, MD 20783-3282
Registry dates
- Enumerated
- 2012-01-18
- Last updated
- 2017-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.