SUPREME S&S CARE DKS, LLC – NPI #1235068933
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

SUPREME S&S CARE DKS, LLC is a community based residential treatment facility located in RICHMOND, VA. NPPES recently assigned the NPI number 1235068933 to SUPREME S&S CARE DKS, LLC on May 18, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUPREME S&S CARE DKS, LLC below.

NPI Profile for
SUPREME S&S CARE DKS, LLC

NPI Number
1235068933
Enumeration Date

(about 2 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUPREME S&S CARE DKS, LLC
Primary location
2905 SANDY LN
RICHMOND, VA 23223-2119
Phone: (804) 869-3732 Fax: (804) 486-6620
Mailing address
913 POPLAR COVE WAY
RICHMOND, VA 23223-2150
Phone: (804) 687-9427 Fax: (804) 486-6620
Organization Subpart
Yes - SUPREME S&S CARE DKS, LLC is subpart of another organization.
Authorized Official
KATRINA SAMUELS
OWNER
Phone: (804) 687-9427
Updated
Certification Date
May 18, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.