Superb Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010773 Issued in IL

Legal business name

SUPERB HOME HEALTH, INC.

Practice address

3158 Des Plaines Ave
Ste 30
Des Plaines, IL 60018-4220

Phone

(847) 803-8873

Fax

(847) 803-8846

NPI assigned

Oct 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Reynaldo C Gobenciong

Title

President

Phone

(847) 803-8873

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1003095159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 DES PLAINES AVE",
            "address_2": "STE 30",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184220",
            "telephone_number": "847-803-8873",
            "fax_number": "847-803-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3158 DES PLAINES AVE",
            "address_2": "STE 30",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184220",
            "telephone_number": "847-803-8873",
            "fax_number": "847-803-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERB HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "GOBENCIONG",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-803-8873",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.