OrganizationActive
Supreme Care LLC
NPI 1790675411 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Portland, ME
Provider details
- NPI number
- 1790675411
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mukiza Shamaragwe, Ceo(515) 771-6546
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
510 Cumberland Ave Unit 302
Portland, ME 04101-7208
Phone: (515) 771-6546
Street-level locationGet directions
Mailing address
510 Cumberland Ave Unit 302
Portland, ME 04101-7208
Registry dates
- Enumerated
- 2025-07-04
- Last updated
- 2025-07-04
- Certified
- 2025-07-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.