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

Supreme Senior Living, LLC

Organization Adult Care Home Facility · NPI 1801351770

Supreme Senior Living, LLC is an Adult Care Home Facility in Clermont, Florida. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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

502 Southridge Rd Fl 34711USA
Clermont, FL 34711-6487
Phone: (407) 929-7247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X
Private Vehicle Taxonomy 347C00000X

Record details

NPI number1801351770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amoy Young — Administrator · (407) 929-7247
NPI enumeratedFebruary 5, 2019
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing address502 Southridge Rd Fl 34711usa, Clermont, FL 34711-6487

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