SUPREME CARE WELLNESS GROUP LLC
NPI 1497453948
Clinic/Center - Developmental Disabilities in Port Saint Lucie, FL

Q: What is Supreme Care Wellness Group LLC's NPI number?

The NPI number for Supreme Care Wellness Group LLC is 1497453948. It was assigned to this organization in the NPPES registry on February 22, 2023.

Q: What is Supreme Care Wellness Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Active since February 22, 2023

1736 NW CATALUNA CIR, PORT SAINT LUCIE, FL 34986(561) 449-3147 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Supreme Care Wellness Group Llc NPPES

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

SUPREME CARE WELLNESS GROUP LLC (NPI 1497453948) is a healthcare organization registered as a developmental disabilities in Port Saint Lucie, Florida and active in the NPI registry since February 2023. The organization lists Jacolby Tillman, Owner, as its authorized official.

NPPES Registry Identity

NPI1497453948

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameSUPREME CARE WELLNESS GROUP LLC

Location Address1736 NW CATALUNA CIRPort Saint Lucie, FL 34986-5800

Mailing Address1736 Nw Cataluna CirPort Saint Lucie, FL 34986-5800 · (561) 449-3147

Phone(561) 449-3147

Organization SubpartNo

Authorized OfficialJacolby TillmanOwner · (561) 449-3147

Enumeration DateFebruary 22, 2023

NPPES CertifiedFebruary 22, 2023

✔ NPI 1497453948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

1736 NW CATALUNA CIR, Port Saint Lucie, FL 34986

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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 Wellness Group LLC's NPI number?

The NPI number for Supreme Care Wellness Group LLC is 1497453948. It was assigned to this organization in the NPPES registry on February 22, 2023.

Where is Supreme Care Wellness Group LLC located?

Supreme Care Wellness Group LLC is located at 1736 NW Cataluna Cir, Port Saint Lucie, FL 34986. The listed phone number is (561) 449-3147.

What is Supreme Care Wellness Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Supreme Care Wellness Group LLC was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.