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SUPREME LIVING LLC
NPI 1154085181
Community/Behavioral Health in Olympia, WA

Active since October 26, 2021
6604 MARTIN WAY E, OLYMPIA, WA 98516(360) 362-7002 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supreme Living Llc NPPES

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

SUPREME LIVING LLC (NPI 1154085181) is a healthcare organization registered as a community/behavioral health in Olympia, Washington and active in the NPI registry since October 2021. The organization lists Angela M Rinaldo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154085181
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSUPREME LIVING LLC
Location Address6604 MARTIN WAY EOlympia, WA 98516
Mailing Address1420 Marvin Road Ne, Ste C-347Lacey, WA 98516 · (206) 947-4353
Phone(360) 362-7002
Organization SubpartNo
Authorized OfficialAngela M RinaldoCeo · (360) 639-7002
Enumeration DateOctober 26, 2021
Last NPPES UpdateMay 19, 2022
NPPES CertifiedMay 19, 2022
✔ NPI 1154085181 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.
6604 MARTIN WAY E, Olympia, WA 98516
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Other Identifiers 1

Medicaid2171006WA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUPREME LIVING, LLC
Community/Behavioral Health
6604 MARTIN WAY E
OLYMPIA, WA 98516
Thurston County (360) 639-7002
DANIEL DITLOW CPC
Counselor
6604 MARTIN WAY E
OLYMPIA, WA 98516
Thurston County (360) 639-7002
SHEALYNN RENE REUTHER BSW
Social Worker
6604 MARTIN WAY E
OLYMPIA, WA 98516
Thurston County (360) 639-7002

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 Living LLC's NPI number?

The NPI number for Supreme Living LLC is 1154085181. It was assigned to this organization in the NPPES registry on October 26, 2021.

Where is Supreme Living LLC located?

Supreme Living LLC is located at 6604 Martin Way E, Olympia, WA 98516. The listed phone number is (360) 362-7002.

What is Supreme Living LLC'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 Living LLC was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.