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

Supreme Healthcare Agency LLC

Organization Developmentally Disabled Services Day Training Agency · NPI 1639661317

Supreme Healthcare Agency LLC is a Developmentally Disabled Services Day Training Agency in Willoughby, Ohio. Registered with an NPI since 2018.

In the registry since
2018
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

38335 Tamarac Blvd Apt 220
Willoughby, OH 44094-8195
Phone: (440) 521-2276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X

Record details

NPI number1639661317
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Campbell-Rasberry — Ceo · (440) 521-2276
NPI enumeratedMay 30, 2018
Last updated in NPPESMay 30, 2018
Mailing address38335 Tamarac Blvd Apt 220, Willoughby, OH 44094-8195

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