Supreme Care Housing Llc

LBN: Supreme Care Housing Llc
Supreme Care Housing Llc is an health care organization with primary practice located at 334 Betsy Ave Sw , Atlanta GA 30310-1008. The organization recently has 6 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Transportation Services / Private Vehicle. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Supreme Care Housing Llc can be contacted via phone (770) 585-3029, or through Logan, Doris via phone (770) 585-3029.

Contact Information

Primary practice address
334 Betsy Ave Sw Atlanta GA 30310-1008
Phone: (770) 585-3029
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Logan, Doris
Phone: (770) 585-3029

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Transportation Services / Private Vehicle 347C00000X

Profile Details

NPI number 1629779194
LBN Legal business name Supreme Care Housing Llc
DBA Doing business as
Authorized official Logan, Doris
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2023
Last updated Mar 13th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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