SUPREME HOME LLC
NPI 1891294153
Custodial Care Facility in Anchorage, AK

Q: What is Supreme Home LLC's NPI number?

The NPI number for Supreme Home LLC is 1891294153. It was assigned to this organization in the NPPES registry on February 1, 2018.

Q: What is Supreme Home LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Supreme Home LLC was last updated on February 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 01, 2018

2600A BRYANT CIR, ANCHORAGE, AK 99507(907) 929-1141(907) 868-4670 Get Directions Write a Review

NPPES record last updated: February 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Supreme Home Llc NPPES

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

SUPREME HOME LLC (NPI 1891294153) is a healthcare organization registered as a custodial care facility in Anchorage, Alaska and active in the NPI registry since February 2018. The organization lists Ajoke Olohima Kolawole, Administrator, as its authorized official.

NPPES Registry Identity

NPI1891294153

Entity TypeOrganization

Primary Taxonomy311Z00000X

Legal Business NameSUPREME HOME LLC

Location Address2600A BRYANT CIRAnchorage, AK 99507-3252

Mailing Address2600 A Bryant Circle, P.o Box 142764Anchorage, AK 99514-2764 · (907) 929-1141 · Fax (907) 868-4670

Phone(907) 929-1141

Fax(907) 868-4670

Organization SubpartNo

Authorized OfficialAjoke Olohima KolawoleAdministrator · (907) 830-6959

Enumeration DateFebruary 1, 2018

Last NPPES UpdateFebruary 5, 2018

✔ NPI 1891294153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities

Taxonomy Code311Z00000X

Definition

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

2600A BRYANT CIR, Anchorage, AK 99507

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Other Identifiers 1

Medicaid1030505AK

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 Home LLC's NPI number?

The NPI number for Supreme Home LLC is 1891294153. It was assigned to this organization in the NPPES registry on February 1, 2018.

Where is Supreme Home LLC located?

Supreme Home LLC is located at 2600A Bryant Cir, Anchorage, AK 99507. The listed phone number is (907) 929-1141.

What is Supreme Home LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for Supreme Home LLC was last updated on February 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.