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

Supreme Nursing Care and Supported Living LLC

Organization Home Health Agency · NPI 1982175154

Supreme Nursing Care and Supported Living LLC is a Home Health Agency in Cherry Hill, New Jersey. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
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

1401 Marlton Pike E Ste 22A
Cherry Hill, NJ 08034-2207
Phone: (614) 929-1931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1101 W Hamilton St Ste 141, Allentown, PA 18101-1043 — (614) 929-1931

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1982175154
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamed Fofanah — Ceo · (614) 929-1931
NPI enumeratedDecember 16, 2018
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025
Mailing address1101 W Hamilton St Ste 141, Allentown, PA 18101-1043

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