Supreme Habilitative Services

LBN: Supreme Habilitative Services Llc
Supreme Habilitative Services is an health care organization with primary practice located at 100 S Ashley Dr Ste 600 , Tampa FL 33602-5300. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Agencies / Home Health, Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Home Health Aide. Agencies / Home Health is the primary health care specialty. Supreme Habilitative Services Llc can be contacted via phone (813) 381-0595, or through Simmons, Rackaye J via phone (866) 751-8330.

Contact Information

Primary practice address
100 S Ashley Dr Ste 600 Tampa FL 33602-5300
Phone: (813) 381-0595
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simmons, Rackaye J
Phone: (866) 751-8330

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1730759168
LBN Legal business name Supreme Habilitative Services Llc
DBA Doing business as Supreme Habilitative Services
Authorized official Simmons, Rackaye J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2021
Last updated Nov 27th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730759168 NPPES
Florida MEDICAID 01

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