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Supreme Care Servicesllc

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hyattsville, MD · enumerated 2025 · authorized official Korpo Johnson, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104792183

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Registry record

Entity type Organization (Type 2)
Legal business name Supreme Care Servicesllc
Practice address 4738 68th Ave, Hyattsville, MD, 20784
Phone (301) 814-1509
Fax (301) 814-1509
Enumeration date Oct 15, 2025
Last updated in NPPES Dec 8, 2025

Taxonomy & classification

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Korpo Johnson
Title President
Phone (301) 814-1509

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Supreme Care Servicesllc?
NPPES lists Korpo Johnson (President) as the authorized official for this organization.
What is the NPI number for Supreme Care Servicesllc?
The NPI for Supreme Care Servicesllc is 1104792183, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-08.