Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Supreme Nursing Care and Supported Living LLC

Home Health Agency in Cherry Hill, NJ · enumerated 2018 · authorized official Mohamed Fofanah, Ceo.

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

National Provider Identifier

1982175154

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Supreme Nursing Care and Supported Living LLC

Practice address 1401 Marlton Pike E Ste 22a, Cherry Hill, NJ, 08034

Phone (614) 929-1931

Enumeration date Dec 16, 2018

Last updated in NPPES Feb 5, 2025

Taxonomy & classification

251E00000X Home Health Agency Agencies Primary

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Secondary

343900000X Non-emergency Medical Transport (VAN) Transportation Services Secondary

Authorized official

Name Mohamed Fofanah

Title Ceo

Phone (614) 929-1931

Other identifiers

Identifier	Type	State	Issuer
1035115810001	Medicaid	PA	-

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 Nursing Care and Supported Living LLC?

Supreme Nursing Care and Supported Living LLC is registered in NPPES as a Home Health Agency (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-05.