OrganizationActive
Supreme Team LLC
NPI 1912261231 · Custodial Care Facility · Augusta, GA
Supreme Team LLC is a Custodial Care Facility organization in Augusta, GA (NPI 1912261231).
Provider details
- NPI number
- 1912261231
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Caletha Taylor, Manager(706) 951-7514
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1520 12th St
Augusta, GA 30901-3676
Phone: (706) 364-4710
Street-level locationGet directions
Mailing address
5327 Windmill Pkwy
Evans, GA 30809-6651
Other names (DBA / former)
- Doing business as
- Longevity Personal Care Home
Registry dates
- Enumerated
- 2012-07-02
- Last updated
- 2012-07-02
Frequently asked questions
- What is Supreme Team LLC's NPI number?
- Supreme Team LLC's National Provider Identifier (NPI) is 1912261231, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Team LLC?
- Supreme Team LLC is classified in the NPPES registry as Custodial Care Facility (Nursing & Custodial Care Facilities).
- Where is Supreme Team LLC located?
- Supreme Team LLC's practice location on file with NPPES is 1520 12th St, Augusta, GA 30901-3676.
- What is Supreme Team LLC's phone number?
- The practice phone number listed in the NPPES registry for Supreme Team LLC is (706) 364-4710.
- Who is the authorized official for Supreme Team LLC?
- The authorized official listed on Supreme Team LLC's NPPES record is Caletha Taylor, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Team LLC's NPI active?
- Yes — Supreme Team LLC's NPI (1912261231) is active in the NPPES registry as of the last update on 2012-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.