Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUPREME CARE
NPI 1144853672
Community/Behavioral Health in Southaven, MS

Q: What is Supreme Care's NPI number?

The NPI number for Supreme Care is 1144853672. It was assigned to this organization in the NPPES registry on February 12, 2020.

Q: What is Supreme Care's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Supreme Care was last updated on September 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 12, 2020

4410 GRAY ESTATES DR, SOUTHAVEN, MS 38671(901) 921-0514 Get Directions Write a Review

NPPES record last updated: September 19, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 19, 2026, Feb 12, 2020 (2 updates tracked since 2020).

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About Supreme Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPREME CARE (NPI 1144853672) is a healthcare organization registered as a community/behavioral health in Southaven, Mississippi and active in the NPI registry since February 2020. The organization lists Yolanda R Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1144853672

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSUPREME CARE

Location Address4410 GRAY ESTATES DRSouthaven, MS 38671-5094

Mailing Address4410 Gray Estates DrSouthaven, MS 38671-5094 · (901) 921-0514

Phone(901) 921-0514

Organization SubpartNo

Authorized OfficialYolanda R JohnsonOwner · (901) 921-0514

Enumeration DateFebruary 12, 2020

Last NPPES UpdateSeptember 19, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2026

✔ NPI 1144853672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

4410 GRAY ESTATES DR, Southaven, MS 38671

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supreme Care's NPI number?

The NPI number for Supreme Care is 1144853672. It was assigned to this organization in the NPPES registry on February 12, 2020.

Where is Supreme Care located?

Supreme Care is located at 4410 Gray Estates Dr, Southaven, MS 38671. The listed phone number is (901) 921-0514.

What is Supreme Care's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Supreme Care was last updated on September 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.