SUPREME CARE LLC
NPI 1790675411
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Portland, ME
About Supreme Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUPREME CARE LLC (NPI 1790675411) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Portland, Maine and active in the NPI registry since July 2025. The organization lists Mukiza Gloire Shamaragwe, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, ME 04101
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 LLC's NPI number?
The NPI number for Supreme Care LLC is 1790675411. It was assigned to this organization in the NPPES registry on July 4, 2025.
Where is Supreme Care LLC located?
Supreme Care LLC is located at 510 Cumberland Ave Unit 302, Portland, ME 04101. The listed phone number is (515) 771-6546.
What is Supreme Care LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Supreme Care LLC was last updated on July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Supreme Care Llc · NPI 1790675411
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Portland, Maine. Organization record, active in the CMS NPPES registry since July 4, 2025.
## Identity
- **NPI:** 1790675411 (Entity type: Organization)
- **Enumerated:** July 4, 2025
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Mukiza Shamaragwe, CEO
## Practice location
- **Address:** 510 CUMBERLAND AVE UNIT 302, Portland, ME 04101-7208
- **Phone:** (515) 771-6546
## Record status
- **NPPES last updated:** July 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790675411) · Data from the CMS NPPES public registry.