1. Home
  2. Directory
  3. Florida
  4. Clermont
  5. Custodial Care Facility
  6. NPI Profile

SUPREME SENIOR LIVING, LLC
NPI 1801351770
Custodial Care Facility - Adult Care Home in Clermont, FL

Active since February 05, 2019
502 SOUTHRIDGE RD FL 34711USA, CLERMONT, FL 34711(407) 929-7247 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2026, Feb 5, 2019 (2 updates tracked since 2019).

About Supreme Senior Living, Llc NPPES

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

SUPREME SENIOR LIVING, LLC (NPI 1801351770) is a healthcare organization registered as an adult care home in Clermont, Florida and active in the NPI registry since February 2019. The organization lists Amoy Young, Administrator, as its authorized official.

NPPES Registry Identity

NPI1801351770
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSUPREME SENIOR LIVING, LLC
Location Address502 SOUTHRIDGE RD FL 34711USAClermont, FL 34711-6487
Mailing Address502 Southridge Rd Fl 34711usaClermont, FL 34711-6487 · (407) 929-7247
Phone(407) 929-7247
Organization SubpartNo
Authorized OfficialAmoy YoungAdministrator · (407) 929-7247
Enumeration DateFebruary 5, 2019
Last NPPES UpdateApril 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1801351770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedPrivate VehicleTaxonomy 347C00000X
502 SOUTHRIDGE RD FL 34711USA, Clermont, FL 34711
Open in Google Maps ↗

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 Senior Living, LLC's NPI number?

The NPI number for Supreme Senior Living, LLC is 1801351770. It was assigned to this organization in the NPPES registry on February 5, 2019.

Where is Supreme Senior Living, LLC located?

Supreme Senior Living, LLC is located at 502 Southridge Rd Fl 34711usa, Clermont, FL 34711. The listed phone number is (407) 929-7247.

What is Supreme Senior Living, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Supreme Senior Living, LLC was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.