Provider Demographics
NPI:1902362163
Name:SUPREME HOMEMAKER SERVICES INC
Entity Type:Organization
Organization Name:SUPREME HOMEMAKER SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHUO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-667-6816
Mailing Address - Street 1:6325 LANDOVER RD APT 104
Mailing Address - Street 2:
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1328
Mailing Address - Country:US
Mailing Address - Phone:240-667-6816
Mailing Address - Fax:
Practice Address - Street 1:143 KENNEDY ST NW STE 7
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5269
Practice Address - Country:US
Practice Address - Phone:240-667-6816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty