Supreme Care Wellness Group LLC
NPI 1497453948 · Developmental Disabilities Clinic/Center · Port Saint Lucie, FL
Supreme Care Wellness Group LLC is a Developmental Disabilities Clinic/Center organization in Port Saint Lucie, FL (NPI 1497453948).
Provider details
- NPI number
- 1497453948
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacolby Tillman, Owner(561) 449-3147
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-02-22
- Last updated
- 2023-02-22
- Certified
- 2023-02-22
Frequently asked questions
- What is Supreme Care Wellness Group LLC's NPI number?
- Supreme Care Wellness Group LLC's National Provider Identifier (NPI) is 1497453948, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Care Wellness Group LLC?
- Supreme Care Wellness Group LLC is classified in the NPPES registry as Developmental Disabilities Clinic/Center (Ambulatory Health Care Facilities).
- Where is Supreme Care Wellness Group LLC located?
- Supreme Care Wellness Group LLC's practice location on file with NPPES is 1736 Nw Cataluna Cir, Port Saint Lucie, FL 34986-5800.
- What is Supreme Care Wellness Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Supreme Care Wellness Group LLC is (561) 449-3147.
- Who is the authorized official for Supreme Care Wellness Group LLC?
- The authorized official listed on Supreme Care Wellness Group LLC's NPPES record is Jacolby Tillman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Care Wellness Group LLC's NPI active?
- Yes — Supreme Care Wellness Group LLC's NPI (1497453948) is active in the NPPES registry as of the last update on 2023-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.