Organization Active NPI

Superior Home Care Services, Inc

  • In Home Supportive Care Agency
  • Oceanside, CA
National Provider Identifier
1013503259
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUPERIOR HOME CARE SERVICES, INC
Practice address
2182 S El Camino Real Ste 205
Oceanside, CA 92054-6207
Phone
(760) 814-9930
Fax
(760) 400-0976
NPI assigned
Dec 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Cesar Fernandez-Mansilla
Title
Cfo
Phone
(760) 505-1366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2182 S El Camino Real Ste 205
Oceanside, CA 92054-6207

Mailing address

PO Box 2295
Carlsbad, CA 92018-2295
Phone (760) 814-9930

Other identifiers 1

IdentifierTypeStateIssuer
374700087OtherCADEPARTMENT OF SOCIAL SERVICES, HOME CARE DIVISION

National Provider Directory

National Provider Directory

Locations

2182 S El Camino Real
Ste 205
Oceanside, CA 92054
Phone (760) 814-9930

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1013503259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2295",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920182295",
            "telephone_number": "760-814-9930",
            "fax_number": "760-400-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 S EL CAMINO REAL STE 205",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546207",
            "telephone_number": "760-814-9930",
            "fax_number": "760-400-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HOME CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ-MANSILLA",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "760-505-1366"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF SOCIAL SERVICES, HOME CARE DIVISION",
            "identifier": "374700087",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.