SUPREME SENIOR LIVING LLC NPI 1801351770

NPI Information

NPI: 1801351770
Provider Name: SUPREME SENIOR LIVING, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
502 SOUTHRIDGE RD FL 34711USA
CLERMONT, FL
ZIP 34711
Phone: (407) 929-7247
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SUPREME SENIOR LIVING, LLC is an assisted living facility in Clermont, FL. The provider is 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. SUPREME SENIOR LIVING, LLC NPI is 1801351770. The provider is registered as an organization entity type.

The provider's business location address is:

502 SOUTHRIDGE RD FL 34711USA
CLERMONT, FL
ZIP 34711-487
Phone: (407) 929-7247

The provider's authorized official is Amoy Young .
The authorized official title is Administrator and has the following contact phone number (407) 929-7247.

The enumeration date for this NPI number is 2/5/2019 and was last updated on 2/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 1/10/2023

NPI Synchronization or Removal

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