Supreme Memory Care LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

106501 Issued in TX

Legal business name

SUPREME MEMORY CARE LLC

Practice address

11750 Padon Rd
Needville, TX 77461-9681

Phone

(832) 282-7363

NPI assigned

Aug 26, 2016

Last updated

Aug 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Williams

Title

Director

Phone

(832) 282-7363

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1770039166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 PADON RD",
            "city": "NEEDVILLE",
            "state": "TX",
            "postal_code": "774619681",
            "telephone_number": "832-282-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 PADON RD",
            "city": "NEEDVILLE",
            "state": "TX",
            "postal_code": "774619681",
            "telephone_number": "832-282-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME MEMORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-282-7363"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "TX",
            "license": "106501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• South Texas Medical Clinics, P.a.
• Dawnyelle M Springs
• Chaille Sulak, OT
• Tiffany Svatek
• Cameron Cadence Terry
• Mercedes Thompson
• Lacey Torres, LPC-ASSOCIATE
• Kimberly Ullmann

• Alzheimer Center (Dementia Center) in Needville, TX
• Providers in Needville, TX by specialty
• Alzheimer Center (Dementia Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.