Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Supreme Healthcare Services, LLC

Custodial Care Facility in Washington, DC · enumerated 2012 · authorized official Ganiyat Efuntoye, President/Ceo.

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

National Provider Identifier

1871864124

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Registry record

Entity type Organization (Type 2)

Legal business name Supreme Healthcare Services, LLC

Practice address 4611 Clay St Ne, Washington, DC, 20019

Phone (240) 357-8763

Fax (240) 863-3313

Enumeration date Jan 18, 2012

Last updated in NPPES May 11, 2017

Taxonomy & classification

311Z00000X Custodial Care Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Ganiyat Efuntoye

Title President/Ceo

Phone (240) 357-8763

Other identifiers

Identifier	Type	State	Issuer
057293200	Medicaid	DC	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Supreme Healthcare Services, LLC?

Supreme Healthcare Services, LLC is registered in NPPES as a Custodial Care Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-05-11.