Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Supreme Care Servicesllc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1104792183

Supreme Care Servicesllc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hyattsville, Maryland. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4738 68th Ave
Hyattsville, MD 20784-1400
Phone: (301) 814-1509
Fax: (301) 814-1509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X

Record details

NPI number1104792183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Korpo Johnson — President · (301) 814-1509
NPI enumeratedOctober 15, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address4738 68th Ave, Hyattsville, MD 20784-1400

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