NPI age
13 years
Enumerated 2012-07-02
● Active Type 2 · Organization
Supreme Team Llc
Supreme Team Llc is 1 of 40 custodial care facility organizations in Georgia.
Primary specialty
Custodial Care Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
Manager
Last NPPES update
2012-07-02
Source: monthly bulk 2026-05
How this organization compares
Across 40 active custodial care facility providers in Georgia.
NPI age
13 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-07Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
1520 12th St
Augusta, GA 309013676
Mailing address
5327 Windmill Pkwy
Evans, GA 308096651
Authorized official
Caletha Taylor
Manager
📞 7069517514
Specialties
-
Custodial Care Facility PrimaryA facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets,...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Longevity Personal Care Home
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.