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

Supreme Habilitative Services LLC

Organization Behavior Technician · NPI 1730759168

Supreme Habilitative Services LLC is a Behavior Technician in Tampa, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 S Ashley Dr Ste 600
Tampa, FL 33602-5300
Phone: (813) 381-0595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Behavior Technician Taxonomy 106S00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Assisted Living Facility (Behavioral Disturbances) Taxonomy 3104A0630X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X
Home Health Aide Taxonomy 374U00000X

Record details

NPI number1730759168
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rackaye Simmons — Ceo · (866) 751-8330
Other names Supreme Habilitative Services
NPI enumeratedJune 28, 2021
Last updated in NPPESNovember 27, 2021
Certification dateNovember 27, 2021
Mailing address100 S Ashley Dr Ste 600, Tampa, FL 33602-5300

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