Provider Demographics
NPI:1437308699
Name:SUPERIOR CARE HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:SUPERIOR CARE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRISELDA
Authorized Official - Middle Name:GONZALEZ
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-791-6477
Mailing Address - Street 1:804 OKANE ST
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-5521
Mailing Address - Country:US
Mailing Address - Phone:956-791-6477
Mailing Address - Fax:956-721-0663
Practice Address - Street 1:804 OKANE ST
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-5521
Practice Address - Country:US
Practice Address - Phone:956-791-6477
Practice Address - Fax:956-721-0663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747450Medicare Oscar/Certification