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

Supreme Healthcare Services, LLC

Organization Custodial Care Facility · NPI 1871864124

Supreme Healthcare Services, LLC is a Custodial Care Facility in Washington, District of Columbia. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4611 Clay St NE
Washington, DC 20019-4663
Phone: (240) 357-8763
Fax: (240) 863-3313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Custodial Care Facility (primary) Taxonomy 311Z00000X

Record details

NPI number1871864124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ganiyat Efuntoye — President/Ceo · (240) 357-8763
NPI enumeratedJanuary 18, 2012
Last updated in NPPESMay 11, 2017
Mailing address6475 New Hampshire Ave, Suite 315, Hyattsville, MD 20783-3282

Other providers in Washington