Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Supreme Care Housing LLC

Organization Assisted Living Facility · NPI 1629779194

Supreme Care Housing LLC is an Assisted Living Facility in Atlanta, Georgia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

334 Betsy Ave SW
Atlanta, GA 30310-1008
Phone: (770) 585-3029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Assisted Living Facility (Mental Illness) Taxonomy 3104A0625X
Assisted Living Facility (Behavioral Disturbances) Taxonomy 3104A0630X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X
Private Vehicle Taxonomy 347C00000X

Record details

NPI number1629779194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doris Logan — Ceo · (770) 585-3029
NPI enumeratedMarch 13, 2023
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023
Mailing address3379 Peachtree Rd Ne Ste 555, Atlanta, GA 30326-1418

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