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SUPREME CARE HOUSING LLC
NPI 1629779194
Assisted Living Facility in Atlanta, GA

Active since March 13, 2023
334 BETSY AVE SW, ATLANTA, GA 30310(770) 585-3029 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Supreme Care Housing Llc NPPES

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

SUPREME CARE HOUSING LLC (NPI 1629779194) is a healthcare organization registered as an assisted living facility in Atlanta, Georgia and active in the NPI registry since March 2023. The organization lists Doris Logan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629779194
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUPREME CARE HOUSING LLC
Location Address334 BETSY AVE SWAtlanta, GA 30310-1008
Mailing Address3379 Peachtree Rd Ne Ste 555Atlanta, GA 30326-1418 · (770) 585-3029
Phone(770) 585-3029
Organization SubpartNo
Authorized OfficialDoris LoganCeo · (770) 585-3029
Enumeration DateMarch 13, 2023
NPPES CertifiedMarch 13, 2023
✔ NPI 1629779194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X
Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
Also ListedPrivate VehicleTaxonomy 347C00000X
334 BETSY AVE SW, Atlanta, GA 30310
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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 Housing LLC's NPI number?

The NPI number for Supreme Care Housing LLC is 1629779194. It was assigned to this organization in the NPPES registry on March 13, 2023.

Where is Supreme Care Housing LLC located?

Supreme Care Housing LLC is located at 334 Betsy Ave SW, Atlanta, GA 30310. The listed phone number is (770) 585-3029.

What is Supreme Care Housing LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Supreme Care Housing LLC was last updated on March 13, 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.