Supreme Home Llc

LBN: Supreme Home Llc
Supreme Home Llc is an health care organization with primary practice located at 2600A Bryant Cir , Anchorage AK 99507-3252. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Custodial Care Facility, which is considered as the primary health care specialty. Supreme Home Llc can be contacted via phone (907) 929-1141, or through Kolawole, Ajoke Olohima via phone (907) 830-6959.

Contact Information

Primary practice address
2600A Bryant Cir Anchorage AK 99507-3252
Phone: (907) 929-1141
Fax: (907) 868-4670
Website:
Map and Directions
Authorized official contact:
Name: Kolawole, Ajoke Olohima B.A., CNA
Phone: (907) 830-6959

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X Alaska

Profile Details

NPI number 1891294153
LBN Legal business name Supreme Home Llc
DBA Doing business as
Authorized official Kolawole, Ajoke Olohima B.A., CNA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2018
Last updated Feb 5th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891294153 NPPES
Alaska MEDICAID 1030505

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