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Supreme Care Housing Llc
Private Vehicle in Atlanta, Georgia
NPI 1629779194

Supreme Care Housing Llc is a Private Vehicle based in Atlanta, GA. Supreme Care Housing Llc practices in Atlanta, GA. The NPI Number for Supreme Care Housing Llc is 1629779194 and holds a License No. (Georgia).

The current practice location address for Supreme Care Housing Llc is 334 Betsy Ave Sw, Atlanta, GA and can be reached out via phone at 770-585-3029.

Location: 334 Betsy Ave Sw, Atlanta, GA, 30326-1418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629779194
Provider Name
Supreme Care Housing Llc
Credential
Provider Entity Type
Organization
Address
334 Betsy Ave Sw, Atlanta, GA, 30326-1418
Phone Number
770-585-3029
Fax Number
Provider Enumeration Date
03/13/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
334 Betsy Ave Sw
City
Atlanta
State
Georgia
Zip
30310-1008
Phone Number
770-585-3029
Fax Number
person
Provider Business Mailing Address Details
Address
334 Betsy Ave Sw
City
Atlanta
State
Georgia
Zip
30310-1008
Phone Number
770-585-3029
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Behavioral Disturbances
Taxonomy
3104A0630X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 6
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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