Organization · Type 2 NPI
Supreme Care Housing LLC
Assisted Living Facility · Atlanta, GA
NPI number
1629779194
Active
Practice location
334 Betsy Ave SW
Atlanta, GA 30310-1008
Mailing address
3379 Peachtree Rd NE Ste 555
Atlanta, GA 30326-1418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
| Assisted Living Facility (Mental Illness) | 3104A0625X | None listed |
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
| Private Vehicle | 347C00000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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About NPI 1629779194
Supreme Care Housing LLC's National Provider Identifier is 1629779194, issued on Mar 13, 2023. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Atlanta, GA. The record was last updated on Mar 13, 2023.