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Supreme Home LLC

Custodial Care Facility in Anchorage, AK · enumerated 2018 · authorized official Ajoke Walker Kolawole, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033617881

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Registry record

Entity type Organization (Type 2)
Legal business name Supreme Home LLC
Practice address 1735 Minerva Way, Anchorage, AK, 99515
Fax (907) 868-4670
Enumeration date Jan 26, 2018
Last updated in NPPES Jan 26, 2018

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Secondary
3104A0630X Assisted Living Facility (Behavioral Disturbances) Nursing & Custodial Care Facilities Secondary
311Z00000X Custodial Care Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Ajoke Walker Kolawole
Title Administrator

Other identifiers

Identifier Type State Issuer
1030505 Medicaid AK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-01-26. Verify at npiregistry.cms.hhs.gov.
Where is Supreme Home LLC located?
The practice location on file with NPPES is in Anchorage, AK.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-01-26.