Supreme 6 LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SUPREME 6 LLC

Practice address

3800 Coopersdale Rd
Charlotte, NC 28273-3746

Phone

(704) 999-8926

NPI assigned

May 9, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Veronica Denise Days

Title

Vice President

Phone

(980) 417-1537

Specialties & licenses 1

Addresses

Other names 1

• Bynum6 Care Home Doing business as

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1124602859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 COOPERSDALE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733746",
            "telephone_number": "704-999-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 COOPERSDALE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733746",
            "telephone_number": "704-999-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME 6 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-09",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "DAYS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "980-417-1537"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Wlbj79@gmail.com",
            "affiliation": "N",
            "address_1": "3800 Coopersdale Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282733746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bynum6 Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savannah Marie Supernant
• Support for Growth Inc
• Supporting People in Need - Spin
• Supportive Homes Inc
• Supportive Housing Communities
• Supreme Health Systems Inc
• Suprgeon W Webber III DDS Ta
• Siddharth P Sura, MD
• Deeptha Surampudi, DDS
• Dharmeshkumar Thakordas Suratwala, MD

• Adult Care Home Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.