Supreme Residential Care, LLC
NPI 1245013580ActiveOrganization· Assisted Living Facility· Durham, NC
Assisted Living Facility in Durham, North Carolina, registered in NPPES in August 2023. The authorized official on file is John Chambers, Owner.
Overview
| NPI | 1245013580 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 18, 2023 |
| Last updated in NPPES | Aug 18, 2023 |
| Certified by provider | Aug 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
| Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other assisted living facilities in Durham
- 1043355001
- 1063050524
- 1073558706
- 1073866596
- 1174283972
- 1184856064
- 1255642468
- 1265720825
- 1275698391
- 1366695819
- 1366958233
- 1407991458
All 34 assisted living facilities in Durham · All assisted living facilities in North Carolina