Supreme Health Care Services in Portsmouth - Assisted Living, Mental Illness
Supreme Health Care Services - NPI 1386838571
Supreme Health Care Services is a Assisted Living, Mental Illness in Portsmouth, Virginia. Supreme Health Care Services practices all healthcare services and medical treatments related to Assisted Living, Mental Illness. The NPI Number for Supreme Health Care Services is 1386838571. The last update date is 2012-08-03.
Supreme Health Care Services's current location address is 3300 Tyre Neck Road, Portsmouth, Virginia. You can contact this provider via phone number 7573930327 and fax number 7573930328. The mailing address for Supreme Health Care Services is 3300 Tyre Neck Road, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Supreme Health Care Services |
|---|---|
| Address | 3300 Tyre Neck Road, Portsmouth, Virginia |
| Phone Number | 7573930327 |
| Fax Number | 7573930328 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM DI |
|---|---|
| Authorized Official Name | Madojemu Omonkhuale John |
| Credentials | MSM, PHD ( |
| Telephone Number | 7573930327 |
NPI Number Detail
| NPI Number | 1386838571 |
|---|---|
| Provider Enumeration Date | 2007-08-30 |
| Last Updated Date | 2012-08-03 |
Provider Mailing Address Detail
| Address | 3300 Tyre Neck Road |
|---|---|
| City | Portsmouth |
| State | Virginia (VA) |
| Post Code | 237033319 |
| Phone Number | 7573930327 |
| Fax Number | 7573930328 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living, Mental Illness |
|---|---|
| Taxonomy | 3104A0625X |
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Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff w |
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Post Comment/ Review Below
What is the Supreme Health Care Services's 1386838571?
The Supreme Health Care Services's NPI (National Provider Identifier) Number is 1386838571. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Supreme Health Care Services's physical address?
The Supreme Health Care Services is physically located at 3300 Tyre Neck Road, in the city of Portsmouth, VA, with the postal code 237033319.
What is the Supreme Health Care Services's specialty and taxonomy code?
The Supreme Health Care Services's specialty is Assisted Living, Mental Illness, and the corresponding taxonomy code is 3104A0625X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386838571 to Supreme Health Care Services?
The Supreme Health Care Services received its 1386838571 assignment from the Centers for Medicare & Medicaid Services on 2007-08-30.
As of what date was the information regarding Supreme Health Care Services, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Supreme Health Care Services, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-08-03.