SUPREME FAMILY SERVICES, INC. (NPI# 1932614021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932614021 |
| Entity Type | Organization |
| Organization Name | SUPREME FAMILY SERVICES, INC. |
| Practice Address |
207 S Park Rd Wadesboro NC 28170-2417 |
| Mailing Address |
670 Airport Rd Wadesboro NC 28170-5267 |
| Practice Telephone | 7042945100 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |
| Authorized Official Name | TAMARA GARRIS (ADMINISTRATOR) |
| Authorized Official Telephone | 7042945100 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
207 S PARK RD |
| City | WADESBORO |
| State | NC |
| Zip Code | 28170-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736053 | A Shoulder To Lean On In Nc Inc. | Meals | 66 Dennis Road, Wadesboro, NC 28170 | 2020-06-26 |
| 1649772708 | Washington Family Health Care | Nurse Practitioner | 303 E View St Ste B, Wadesboro, NC 28170 | 2018-03-05 |
| 1487029658 | Kina Charles | Dietitian, Registered | 2031 Us Highway 74, Wadesboro, NC 28170 | 2015-12-14 |
| 1053718072 | Brown's Goldencare | Registered Nurse | 207 Morven Road, Wadesboro, NC 28170 | 2014-11-20 |
| 1346657608 | Danielle Xenia Perkins | Physician Assistant | 2301 U.S. Highway 74 W, Wadesboro, NC 28170 | 2014-07-18 |
| 1225443591 | Healthquest of Union County | Voluntary or Charitable | 2301 Us Highway 74, Wadesboro, NC 28170 | 2014-06-25 |
| 1659785418 | Mrs.bea's Day Program | Day Training, Developmentally Disabled Services | 1672 West Wall St, Wadesboro, NC 28170 | 2014-06-19 |
| 1083055990 | Arnette Waring | Counselor | 704 Old Liles Rd, Wadesboro, NC 28170 | 2013-07-09 |
| 1013269380 | County of Anson | Non-emergency Medical Transport (VAN) | 2485 Hwy 74 West, Wadesboro, NC 28170 | 2012-10-10 |
| 1003182841 | Al H. Covington, Od Pa | Optometrist | 310 N. Greene St., Wadesboro, NC 28170 | 2012-03-27 |
| Find all providers in zip 28170 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
| 1649895442 | Gaynelle Bolling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Mandarin Dr, Pikeville, NC 27863-0020 | 2020-06-08 |
| 1851913966 | Johnson Enrichment Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 Foxcroft Dr, Winston Salem, NC 27103-5313 | 2020-05-12 |
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 1750935839 | Heavenly Touch Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4720 Baileys Lake Rd Nw Apt 204, Concord, NC 28027-8576 | 2019-07-28 |
| 1073166245 | Making Kids Matter, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 409 Hunton Forest Dr Nw, Concord, NC 28027-0186 | 2019-07-17 |
| 1891357752 | New Hope for Tomorrow LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 528 Baldwin Rd, Burlington, NC 27217-1702 | 2019-07-01 |
| 1114490877 | Brenda Gail Cannon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3105 Vico Ter, Raleigh, NC 27610-5951 | 2019-01-05 |
| 1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
| 1487131074 | Ronald Anthony Benjamin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1594 Candace Ridge Dr, Greensboro, NC 27406-8595 | 2018-07-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.