OrganizationActive
Supreme Living LLC
NPI 1154085181 · Community/Behavioral Health Agency · Olympia, WA
Provider details
- NPI number
- 1154085181
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Angela Rinaldo, Ceo(360) 639-7002
Specialties & taxonomies
Agencies
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6604 Martin Way E
Olympia, WA 98516
Phone: (360) 362-7002
Street-level locationGet directions
Mailing address
1420 Marvin Road Ne
Lacey, WA 98516
Registry dates
- Enumerated
- 2021-10-26
- Last updated
- 2022-05-19
- Certified
- 2022-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.