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

Supreme Care Wellness Group LLC

Organization Developmental Disabilities Clinic/Center · NPI 1497453948

Supreme Care Wellness Group LLC is a Developmental Disabilities Clinic/Center in Port Saint Lucie, Florida. Registered with an NPI since 2023.

In the registry since
2023
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

1736 NW Cataluna Cir
Port Saint Lucie, FL 34986-5800
Phone: (561) 449-3147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X

Record details

NPI number1497453948
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacolby Tillman — Owner · (561) 449-3147
NPI enumeratedFebruary 22, 2023
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023
Mailing address1736 Nw Cataluna Cir, Port Saint Lucie, FL 34986-5800

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